Individual
DR. ERIC DAVID GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1194 PACIFIC ST STE 101, SUITE B-2, SAN LUIS OBISPO, CA 93401-3338
(805) 473-3388
(805) 548-0815
Mailing address
1194 PACIFIC ST STE 101, SUITE B-2, SAN LUIS OBISPO, CA 93401-3338
(805) 473-3388
(805) 548-0815
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY 20248
CA
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY 20248
CA
Other
Enumeration date
01/25/2006
Last updated
06/21/2013
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