Goodman, Gary Neal

Goodman, Gary Neal is an individual health care provider with primary practice located at 11110 N Tatum Blvd Suite 103, Phoenix AZ 85028-1607. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Goodman, Gary Neal can be contacted via phone (602) 432-0800.

Contact Information

Primary practice address
11110 N Tatum Blvd Suite 103 Phoenix AZ 85028-1607
Phone: (602) 432-0800
Fax: (623) 516-0637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3196 Arizona

Profile Details

NPI number 1316930381
LBN Legal business name Goodman, Gary Neal
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Dec 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316930381 NPPES
Arizona MEDICAID 451352

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