Individual
MRS. SANDRA ANN GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
22255 GREENFIELD RD STE 300, SOUTHFIELD, MI 48075-3729
(248) 849-3301
Mailing address
21880 DAISY LN, SOUTHFIELD, MI 48033-3913
(248) 462-5267
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008152
MI
Other
Enumeration date
05/09/2007
Last updated
08/25/2022
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