| Doctor Name: | MR. STANLEY JOEL GOODMAN |
| NPI Number: | 1801178520 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | RN278637 |
| Business Practice Address: | 200 May St South Attleboro, MA - 027035520 |
| Business Phone Number: | 5087618500 |
| Business Fax Number: | |
| Mailing Address: | 5 Tuckerdale Way, MILLIS |
| State: | MA |
| Postal Code: | 020541293 |
| Phone Number: | 5085232878 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2011 |
| NPI Last Update Date: | 10/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | RN278637 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |