Goodman, Shelley Z
Goodman, Shelley Z is an sole proprietor health care provider with primary practice located at 7401 Old York Rd , Elkins Park PA 19027-3005. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Goodman, Shelley Z can be contacted via phone (215) 782-1297.Contact Information
Primary practice address
7401 Old York Rd
Elkins Park PA 19027-3005
Phone: (215) 782-1297
Fax: (215) 754-0999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS006393-L | Pennsylvania |
Profile Details
| NPI number | 1194875575 |
|---|---|
| LBN Legal business name | Goodman, Shelley Z |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Dec 21st, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194875575 | NPPES |
| Pennsylvania | MEDICAID | 101274497001 |
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