Organization
AYO MARIA GOODEN, PH.D., ABPBC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYO MARIA GOODEN PH.D. (LICENSED PSYCHOLOGIST)
(610) 453-2849
Entity
Organization
Contact information
Practice address
1210 CHEYNEY RD, WEST CHESTER, PA 19382-8502
(610) 453-2849
(484) 315-8186
Mailing address
PO BOX 623, WESTTOWN, PA 19395-0623
(610) 453-2849
(484) 315-8186
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS016573
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS016573
PA
103TC0700X
Clinical Psychologist
Primary
PS016573
PA
103TC1900X
Counseling Psychologist
PS016573
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS016573
PA
103TF0000X
Family Psychologist
PS016573
PA
103TP2701X
Group Psychotherapy Psychologist
PS016573
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025453330001
—
PA
Enumeration date
05/29/2015
Last updated
05/29/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us