Individual
DR. RONALD JOSEPH GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
19 CLOVERFIELD RD S, VALLEY STREAM, NY 11581-2421
(516) 791-2780
(516) 791-2568
Mailing address
19 CLOVERFIELD RD S, VALLEY STREAM, NY 11581-2421
(516) 791-2780
(516) 791-2568
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
011962-1
NY
103T00000X
Psychologist
Primary
011962-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01658837
—
NY
01
—
62418624
MULTIPLAN ID
NY
Enumeration date
04/03/2007
Last updated
09/11/2025
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