Doctor Name: | BARBARA G GOODMAN |
NPI Number: | 1104860998 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSSW |
License Number: | 1798 |
Business Practice Address: | 1104 21st St Suite E Reedsburg, WI - 539591156 |
Business Phone Number: | 6060876845 |
Business Fax Number: | 6087684646 |
Mailing Address: | 1104 21st St, Suite E REEDSBURG |
State: | WI |
Postal Code: | 539591156 |
Phone Number: | 6060876845 |
Fax Number: | 6087684646 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 03/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |