Individual
DR. DAVID JONTHAN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
282 BANBURY LN, GRAYSLAKE, IL 60030-3415
(414) 324-6348
Mailing address
282 BANBURY LN, GRAYSLAKE, IL 60030-3415
(414) 324-6348
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2581-057
WI
103TC0700X
Clinical Psychologist
071.011359
IL
Other
Enumeration date
08/30/2006
Last updated
02/07/2025
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