Jason Talley Goodson in Bala Cynwyd - Psychologist
Jason Talley Goodson - NPI 1538364567
Jason Talley Goodson is a Psychologist in Bala Cynwyd, Pennsylvania. Jason Talley Goodson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jason Talley Goodson is 1538364567. The last update date is 2012-01-24.
Jason Talley Goodson's current location address is 112 Bala Ave, Bala Cynwyd, Pennsylvania. You can contact this provider via phone number 6106676490 and fax number 6106671744. The mailing address for Jason Talley Goodson is 112 Bala Ave, Bala Cynwyd, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Talley Goodson |
|---|---|
| Address | 112 Bala Ave, Bala Cynwyd, Pennsylvania |
| Phone Number | 6106676490 |
| Fax Number | 6106671744 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1538364567 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2012-01-24 |
Provider Mailing Address Detail
| Address | 112 Bala Ave |
|---|---|
| City | Bala Cynwyd |
| State | Pennsylvania (PA) |
| Post Code | 190043025 |
| Phone Number | 6106676490 |
| Fax Number | 6106671744 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS017069 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the Jason Talley Goodson's 1538364567?
The Jason Talley Goodson's NPI (National Provider Identifier) Number is 1538364567. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jason Talley Goodson?
The Jason Talley Goodson is situated at 112 Bala Ave, in the city of Bala Cynwyd, state of PA, with the zip code 190043025.
What is Jason Talley Goodson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jason Talley Goodson is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1538364567 to Jason Talley Goodson?
The Centers for Medicare & Medicaid Services assigned the 1538364567 to Jason Talley Goodson on 2007-06-19.
As of what date was the information pertaining to Jason Talley Goodson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jason Talley Goodson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-01-24.
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