Individual
DR. SHELLEY Z GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7401 OLD YORK RD, ELKINS PARK, PA 19027-3005
(215) 782-1297
(215) 754-0999
Mailing address
7857 SPRING AVE, ELKINS PARK, PA 19027-2619
(215) 782-1297
(215) 754-0999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006393-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101274497001
—
PA
Enumeration date
01/10/2007
Last updated
05/02/2025
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