Individual
ALYSSA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
23 MILLET ST, DIX HILLS, NY 11746-8105
(631) 875-0397
Mailing address
23 MILLET ST, DIX HILLS, NY 11746-8105
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
01/30/2026
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