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Individual

DR. ELISABETH ANNE GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., NCSP, SP560

Contact information

Practice address
25221 MILES RD, SUITE F, WARRENSVILLE HEIGHTS, OH 44128-5474
(216) 586-2319
(216) 292-1391
Mailing address
25221 MILES RD, SUITE F, WARRENSVILLE HEIGHTS, OH 44128-5474
(216) 586-2319
(216) 292-1391

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP 560
OH

Other

Enumeration date
03/23/2009
Last updated
03/23/2009
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