Individual
BUREL GOODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 19TH ST S, JT 807, BIRMINGHAM, AL 35249-6810
(205) 934-4696
(205) 934-9118
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
(205) 297-9411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1820
AL
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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