Individual
MRS. SUSAN PARADISE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC, LCAT
Contact information
Practice address
36 MOSS LN, JERICHO, NY 11753-1817
(516) 318-2908
(516) 942-0804
Mailing address
36 MOSS LN, JERICHO, NY 11753-1817
(516) 318-2908
(516) 942-0804
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
000511
NY
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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