Individual
DR. DIANE GRUNER GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3330 OLD GLENVIEW RD STE 5, WILMETTE, IL 60091-2963
(312) 953-4958
Mailing address
3330 OLD GLENVIEW RD STE 5, WILMETTE, IL 60091-2963
(312) 953-4958
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009294
IL
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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