Organization
SHELLEY Z GOODMAN PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY Z GOODMAN PH.D. (DIRECTOR)
(215) 782-1297
Entity
Organization
Contact information
Practice address
7401 OLD YORK RD, ELKINS PARK, PA 19027-3005
(215) 782-1297
(215) 754-0999
Mailing address
7857 SPRING AVE, ELKINS PARK, PA 19027-2619
(215) 327-7534
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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