Individual
DR. LUCY ROSE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
928 JAYMOR RD STE B-150, SOUTHAMPTON, PA 18966-3853
(215) 947-8654
Mailing address
128 BAINBRIDGE ST, PHILADELPHIA, PA 19147-2402
(610) 256-0180
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019757
PA
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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