Individual
MR. DAVID GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4200 MONUMENT ROAD, PHILADELPHIA, PA 19131
(215) 581-9110
(215) 581-3827
Mailing address
115 MERBROOK LN, MERION STATION, PA 19066-1619
(215) 581-9110
(215) 581-3827
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006256L
PA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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