| Shelley Z Goodman | |
|
7401 Old York Rd Elkins Park PA 19027-3005 | |
| (215) 782-1297 | |
| (215) 754-0999 |
| Full Name | Shelley Z Goodman |
|---|---|
| Speciality | Psychologist |
| Location | 7401 Old York Rd, Elkins Park, Pennsylvania |
| Authorized Official Name and Position | Shelley Z Goodman (PSYCHOLOGIST) |
| Authorized Official Contact | 2157821297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Z Goodman 7857 Spring Ave Elkins Park PA 19027-2619 Ph: (215) 782-1297 | Shelley Z Goodman 7401 Old York Rd Elkins Park PA 19027-3005 Ph: (215) 782-1297 |
| NPI Number | 1427405463 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 05/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427405463 | NPI | - | NPPES |
| 1012744970001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS006393L (Pennsylvania) | Primary |
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