Individual
DR. MARTIN ALAN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D, HSPP
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321
Mailing address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20040821A
IN
Other
Enumeration date
07/31/2006
Last updated
04/01/2013
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