Organization
GERIATRIC AND FAMILY MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY NEAL GOODMAN PH.D. (OWNER)
(602) 432-0800
Entity
Organization
Contact information
Practice address
11110 N TATUM BLVD, 103, PHOENIX, AZ 85028-1607
(602) 432-0800
(602) 443-0401
Mailing address
11110 N TATUM BLVD, SUITE 103, PHOENIX, AZ 85028-1607
(602) 432-0800
(602) 443-0401
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3196
AZ
Other
Enumeration date
08/24/2005
Last updated
01/08/2015
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