Goodman, Jerrold William
Goodman, Jerrold William is an sole proprietor health care provider with primary practice located at 68 S Main St Suite 200, West Hartford CT 06107-2445. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Goodman, Jerrold William can be contacted via phone (860) 561-6178.Contact Information
Primary practice address
68 S Main St Suite 200
West Hartford CT 06107-2445
Phone: (860) 561-6178
Fax: (860) 561-6184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | CT000414 | Connecticut |
Profile Details
| NPI number | 1326265372 |
|---|---|
| LBN Legal business name | Goodman, Jerrold William |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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