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Individual

DR. AYO MARIA GOODEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, ABPBC, LLC

Contact information

Practice address
1210 CHEYNEY RD, WEST CHESTER, PA 19382-8502
(610) 453-2849
(610) 399-0415
Mailing address
PO BOX 623, WESTTOWN, PA 19395-0623
(610) 453-2849
(610) 399-0415

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS016573
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS016573
PA
103TC0700X
Clinical Psychologist
Primary
PS016573
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS016573
PA
103TF0000X
Family Psychologist
PS016573
PA

Other

Enumeration date
07/25/2009
Last updated
12/01/2014
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