JERRY M GOFFMAN

RANCHO CUCAMONGA, CA
NPI1124137765
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: CA  psy7081)
Enumeration Date2006-08-29
Last Update Date2007-10-01
Business Address
Dr. JERRY M GOFFMAN PhD.
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730-7671
Phone number: 951-312-1041
Mailing Address
Dr. JERRY M GOFFMAN PhD.
1040 S MOUNT VERNON AVE G-306
COLTON, CA 92324-4228
Phone number: 951-312-1041