Goodman, William Alfred

Goodman, William Alfred is an individual health care provider with primary practice located at 160 Benmont Ave Suite 25, Bennington VT 05201-1873. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Goodman, William Alfred can be contacted via phone (802) 447-7577.

Contact Information

Primary practice address
160 Benmont Ave Suite 25 Bennington VT 05201-1873
Phone: (802) 447-7577
Fax: (802) 447-2676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 042-0000722 Vermont
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4767 Massachusetts

Profile Details

NPI number 1407840648
LBN Legal business name Goodman, William Alfred
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Mar 27th, 2009 - about 16 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 1407840648 NPPES
Massachusetts MEDICAID 0522325
Massachusetts MEDICAID 0VN1788

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