Individual
DR. BENJAMIN DAVID GOODLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
300 LONGWOOD AVE FEGAN 4 GENETICS, BOSTON, MA 02115
(617) 355-4697
Mailing address
300 LONGWOOD AVE FEGAN 4 GENETICS, BOSTON, MA 02115-5724
(617) 355-4697
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10843
MA
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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