David J Goodman is a Psychologist in Mequon, Wisconsin. David J Goodman practices all healthcare services and medical treatments related to Psychologist. The NPI Number for David J Goodman is 1649380924. The last update date is 2018-10-25.
David J Goodman's current location address is 1035 W Glen Oaks Ln Ste 110, Mequon, Wisconsin. You can contact this provider via phone number 2622446178 and fax number 2622993040. The mailing address for David J Goodman is 1035 W Glen Oaks Ln Ste 110, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David J Goodman |
|---|---|
| Address | 1035 W Glen Oaks Ln Ste 110, Mequon, Wisconsin |
| Phone Number | 2622446178 |
| Fax Number | 2622993040 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1649380924 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2018-10-25 |
Provider Mailing Address Detail
| Address | 1035 W Glen Oaks Ln Ste 110 |
|---|---|
| City | Mequon |
| State | Wisconsin (WI) |
| Post Code | 530923392 |
| Phone Number | 2622446178 |
| Fax Number | 2622993040 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2581-057 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 84137 | WI | MEDICARE | |
| 39152500 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to David J Goodman by the Centers for Medicare & Medicaid Services?
The David J Goodman has been issued the NPI (National Provider Identifier) 1649380924. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where David J Goodman is physically located?
The David J Goodman is situated at the following address: 1035 W Glen Oaks Ln Ste 110, Mequon, WI 530923392.
What is the area of specialization for David J Goodman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David J Goodman is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649380924 to David J Goodman?
The David J Goodman received its 1649380924 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the David J Goodman's information last updated?
The David J Goodman's information was last updated on 2018-10-25.