Individual
DR. ELIZABETH LENA GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 S WINCHESTER BLVD STE A101, SAN JOSE, CA 95128-3914
(408) 874-6470
Mailing address
1101 S WINCHESTER BLVD STE A101, SAN JOSE, CA 95128-3914
(408) 874-6470
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY26978
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932356128
SELF
CA
Enumeration date
08/19/2008
Last updated
03/19/2016
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