Individual
DR. CHARLENE T GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 S VERMONT AVE, LOS ANGELES, CA 90044-3422
(323) 525-6400
Mailing address
17130 DEVONSHIRE ST STE 201, NORTHRIDGE, CA 91325-1677
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
27268
CA
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
09/30/2011
Last updated
04/20/2021
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