| Organization Name: | GOODMAN THERAPY |
| NPI Number: | 1063720902 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD CRAIG GOODMAN (OWNER) |
| Mailing Address: | 28416 Constellation Rd Valencia |
| State: | CA US |
| Postal Code: | 913555081 |
| Phone Number: | 6619328200 |
| Fax Number: | 6615547000 |
| NPI Enumeration Date: | 09/14/2010 |
| NPI Last Update Date: | 09/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 22798 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |