Individual
MRS. ALICIA JAYE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4621
AZ
103TC0700X
Clinical Psychologist
Primary
4621
AZ
Other
Enumeration date
09/04/2009
Last updated
09/03/2024
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