Individual
DR. STANLEY LOUIS GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 BALBOA BLVD, SUITE 215, ENCINO, CA 91316-1516
(818) 986-7826
(818) 986-7834
Mailing address
5535 BALBOA BLVD, SUITE 215, ENCINO, CA 91316-1516
(818) 986-7826
(818) 986-7834
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
C039950
CA
Other
Enumeration date
01/05/2009
Last updated
05/17/2013
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