| Jeffrey S Goodman Phd, Pc | |
|
355 Crawford St Suite 804 Portsmouth VA 23704-2816 | |
| (757) 397-4394 | |
| (757) 393-3990 |
| Full Name | Jeffrey S Goodman Phd, Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 355 Crawford St, Portsmouth, Virginia |
| Authorized Official Name and Position | Jeffrey Samuel Goodman (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7573974394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey S Goodman Phd, Pc 355 Crawford St Suite 804 Portsmouth VA 23704-2816 Ph: (757) 397-4394 | Jeffrey S Goodman Phd, Pc 355 Crawford St Suite 804 Portsmouth VA 23704-2816 Ph: (757) 397-4394 |
| NPI Number | 1235476490 |
|---|---|
| Provider Enumeration Date | 01/08/2013 |
| Last Update Date | 01/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235476490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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