Individual
DR. GAYLE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1802 A KEEAUMOKU ST, HONOLULU, HI 96816
(808) 386-5363
Mailing address
1407 KOKO HEAD AVE, HONOLULU, HI 96816
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
602
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211557
HMSA
—
Enumeration date
01/11/2007
Last updated
07/08/2007
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