Individual
STEPHANIE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC, NICU-MT
Contact information
Practice address
2333 NORTHROP AVE APT 114B, SACRAMENTO, CA 95825-7218
(919) 699-1103
Mailing address
2333 NORTHROP AVE APT 114B, SACRAMENTO, CA 95825-7218
(919) 699-1103
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
17525
CA
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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