Doctor Name: | MS. TAMA GOODMAN |
NPI Number: | 1467765545 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW |
License Number: | SW127952 |
Business Practice Address: | 2421 Willow Street Pike N Willow Street, PA - 175849225 |
Business Phone Number: | 7174640621 |
Business Fax Number: | 7174640890 |
Mailing Address: | 2421 Willow Street Pike N, WILLOW STREET |
State: | PA |
Postal Code: | 175849225 |
Phone Number: | 7174640621 |
Fax Number: | 7174640890 |
NPI Enumeration Date: | 07/19/2010 |
NPI Last Update Date: | 07/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW127952 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |