Organization
GODMAN PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN E GODMAN PHD, CCHP-MH (PRESIDENT)
(917) 873-0759
Entity
Organization
Contact information
Practice address
1048 BENITO AVE, PACIFIC GROVE, CA 93950-5404
(917) 873-0759
Mailing address
4231 BALBOA AVE # 1256, SAN DIEGO, CA 92117-5504
(917) 873-0759
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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