Individual
MR. LESTER MICHAEL GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 PINE STREET, PHILADELPHIA HEALTH MANAGEMENT CORP, PHILADELPHIA, PA 19107
(215) 598-0223
Mailing address
2213 N 59TH ST, PHILADELPHIA, PA 19131-2201
(215) 868-8658
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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