Goodman, Robert Macy

Goodman, Robert Macy is an sole proprietor health care provider with primary practice located at 35 Timber Ln , South Burlington VT 05403-5201. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Goodman, Robert Macy can be contacted via phone (802) 651-7562.

Contact Information

Primary practice address
35 Timber Ln South Burlington VT 05403-5201
Phone: (802) 651-7562
Fax: (802) 860-3613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 047-0000429 Vermont

Profile Details

NPI number 1154418663
LBN Legal business name Goodman, Robert Macy
Credentials M.A., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jul 9th, 2007 - about 19 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 1154418663 NPPES
Vermont MEDICAID 1002609

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