Organization
JEFFREY S GOODMAN PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SAMUEL GOODMAN PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(757) 397-4394
Entity
Organization
Contact information
Practice address
355 CRAWFORD ST, SUITE 804, PORTSMOUTH, VA 23704-2816
(757) 397-4394
(757) 393-3990
Mailing address
355 CRAWFORD ST, SUITE 804, PORTSMOUTH, VA 23704-2816
(757) 397-4394
(757) 393-3990
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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