Individual
MATTHEW ROBERT GOODNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D, HSP
Contact information
Practice address
12 SPRING ST, MARBLEHEAD, MA 01945-3314
(617) 207-4124
Mailing address
12 SPRING ST FL 1, MARBLEHEAD, MA 01945-3314
(617) 207-4124
(617) 841-7598
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11494
MA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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