Organization
GOODMAN MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JONATHAN GOODMAN PHD (PRESIDENT)
(414) 324-6348
Entity
Organization
Contact information
Practice address
282 BANBURY LN, GRAYSLAKE, IL 60030-3415
(414) 324-6348
Mailing address
282 BANBURY LN, GRAYSLAKE, IL 60030-3415
(414) 324-6348
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
02/07/2025
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