Goodrich, Ronald Joseph

Goodrich, Ronald Joseph is an sole proprietor health care provider with primary practice located at 19 Cloverfield Rd S , Valley Stream NY 11581-2421. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Goodrich, Ronald Joseph can be contacted via phone (516) 791-2780.

Contact Information

Primary practice address
19 Cloverfield Rd S Valley Stream NY 11581-2421
Phone: (516) 791-2780
Fax: (516) 791-2568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 011962-1 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 011962-1 New York

Profile Details

NPI number 1528189891
LBN Legal business name Goodrich, Ronald Joseph
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528189891 NPPES
New York Other 62418624 MULTIPLAN ID
New York MEDICAID 01658837 MULTIPLAN ID

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