Individual
JESSICA DONN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1125 NORSAM RD, GLADWYNE, PA 19035-1419
(513) 505-7934
Mailing address
1125 NORSAM RD, GLADWYNE, PA 19035-1419
(513) 505-7934
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
027304-01
NY
103TC0700X
Clinical Psychologist
PS016377
PA
103TC0700X
Clinical Psychologist
Primary
PY10656
FL
Other
Enumeration date
05/26/2006
Last updated
07/23/2025
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