Diana Jeanne Goodman, MD
Psychiatry & Neurology, Neurology in Scarborough, ME. Individual provider (NPI-1).
NPI number1245457514
StatusActive
Last updated in NPPESAug 18, 2016
Details
- NPI
- 1245457514
- Entity type
- Individual (NPI-1)
- Name
- Diana Jeanne Goodman
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2007
- Last updated
- Aug 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | MD20895 | ME | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | LP01025 | RI | |
| 2084N0400X | Psychiatry & Neurology, Neurology | MD439848 | PA | |
| 2084N0400X | Psychiatry & Neurology, Neurology | MD 34440 | SC | |
| 2084N0400X | Psychiatry & Neurology, Neurology | 036.134858 | IL |
Practice location
49 Spring StScarborough, ME 04074-8926
Phone 207-883-1414 · Fax 207-883-1010
Mailing address
300 Southborough DrSuite 201
South Portland, ME 04106-6914
Phone 207-661-2000
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