Individual
DR. JEFFREY LOUIS GOODIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4301 JONES BRIDGE RD, DEPARTMENT OF FAMILY MEDICINE, BETHESDA, MD 20814-4712
(301) 295-9461
Mailing address
13301 PULVER PL, GAITHERSBURG, MD 20878-2162
(301) 330-1239
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1203
KS
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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