Jay A. Goodman, PH. D. Valid NPI
Individual provider · Clinical Psychologist · Watsonville, CA
- NPI
- 1134237779
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- PSY11430 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-08-25
- Last updated
- 2008-09-18
Practice location
54 Penny Ln, Suite B
Watsonville, CA 95076-6012
(831) 728-3189