Individual
JESSICA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CRITTENDEN BLVD BOX PSYCH, ROCHESTER, NY 14642-0001
(617) 629-6790
Mailing address
300 CRITTENDEN BLVD BOX PSYCH, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1610
NY
106H00000X
Marriage & Family Therapist
Primary
001610
NY
Other
Enumeration date
06/25/2014
Last updated
01/19/2024
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