Dr. Jeffrey Samuel Goodman, PhD
Psychologist, Clinical in Portsmouth, VA. Individual provider (NPI-1).
NPI number1528091402
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1528091402
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Samuel Goodman
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 0810001065 | VA | Yes |
Practice location
355 Crawford StSuite 804
Portsmouth, VA 23704-2816
Phone 757-397-4394 · Fax 757-397-3990
Mailing address
355 Crawford StSuite 804
Portsmouth, VA 23704-2816
Phone 757-397-4394 · Fax 757-397-3990
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