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Individual

ANNA WARD GOODEARL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1165 MORRIS PARK AVE, BRONX, NY 10461-1915
(718) 430-3907
(718) 430-3989
Mailing address
1667 YORK AVE, APT 4N, NEW YORK, NY 10128-6565
(718) 813-3506

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
08/22/2011
Last updated
08/22/2014
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