Peter Robert Goodman L.C.S.W., B.C.D.

NPI 1235263112 - Social Worker - 1041C0700X

NPI Details
NPI 1235263112
Gender Male
Enumeration Date 03/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
20B TROLLEY SQ
WILMINGTON DE, 19806-3350, US
Phone (302) 658-5652
Fax (302) 655-8978
Business Location
5 FOX POND
SPRING HOUSE PA, 19477-1109, US
Phone (215) 290-1278
Fax (302) 655-8978
Toxanomy
Taxonomy Code 1041C0700X
License State Delaware
License Number Q10000177
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According to our database, Peter Robert Goodman L.C.S.W., B.C.D. NPI is 1235263112, taxonomy code is 1041C0700X and license number is Q10000177, license state is located at Delaware. Peter Robert Goodman L.C.S.W., B.C.D. physically located at 20b Trolley Sq, Wilmington DE, 19806-3350. NPI Number Peter Robert Goodman L.C.S.W., B.C.D. has the Individual type.

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1235263112 NPI number is provided on an as is basis without warranty of any kind. 1235263112 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Robert Goodman L.C.S.W., B.C.D. are for informational purposes only.