Individual
DR. CARY K GOODMAN
Active
Individual
DR. CARY K GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2056
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004250370
—
CT
01
—
060002056CT01
ANTEHM BC BS
CT
01
—
353667
MHN
CT
Enumeration date
10/04/2006
Last updated
07/08/2007
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