| Doctor Name: | DR. MATTHEW BOYAR GOODMAN |
| NPI Number: | 1033217088 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 7210 |
| Business Practice Address: | 106 Spring St New Bedford, MA - 027405951 |
| Business Phone Number: | 5089932003 |
| Business Fax Number: | 5089932003 |
| Mailing Address: | 106 Spring St, NEW BEDFORD |
| State: | MA |
| Postal Code: | 027405951 |
| Phone Number: | 5089932003 |
| Fax Number: | 5089932003 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 02/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 7210 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |