Individual
DR. AMANDA ALLER GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005461
IL
103T00000X
Psychologist
180005461
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001634918
BLUE CROSS BLUE SHIELD
IL
01
—
119856343168
HUMANA
—
Enumeration date
09/07/2006
Last updated
03/06/2025
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