Individual
EM GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA PSYD CANDIDATE
Contact information
Practice address
8929 S SEPULVEDA BLVD, LOS ANGELES, CA 90045
(310) 645-5227
Mailing address
8929 S SEPULVEDA BLVD STE 201, LOS ANGELES, CA 90045-3643
(310) 645-5227
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2016
Last updated
01/28/2021
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