| NPI | 1023342805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD MITCHELL GOODMAN Clinical Psychologist 818-917-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY 22613) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CA PSY 22613) |
| 103TH0004X Psychologist Health (Licence: CA PSY 22613) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CA PSY 22613) | |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2024-03-11 |