Organization
DAVID GOODMAN, PH.D. PSYCHOLOGIST LTD.
Active
Other names
David Goodman, Ph.D. Psychologist Associates, Goodman Psychologist Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA COSME (PRACTICE MANAGER)
(630) 377-3535
Entity
Organization
Contact information
Practice address
2075 FOXFIELD RD STE 202, ST CHARLES, IL 60174-1402
(630) 377-3535
(630) 377-6703
Mailing address
2075 FOXFIELD RD STE 202, ST CHARLES, IL 60174-1402
(630) 377-3535
(630) 377-6703
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071002731
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4572009
BC/BS PROVIDER NUMBER
IL
Enumeration date
08/17/2006
Last updated
07/01/2025
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