Organization
SHELLEY Z GOODMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY Z GOODMAN (PSYCHOLOGIST)
(215) 782-1297
Entity
Organization
Contact information
Practice address
7401 OLD YORK RD, ELKINS PARK, PA 19027-3005
(215) 782-1297
(215) 754-0999
Mailing address
7857 SPRING AVE, ELKINS PARK, PA 19027-2619
(215) 782-1297
(215) 754-0999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006393L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012744970001
—
PA
Enumeration date
05/19/2016
Last updated
05/19/2016
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