Alisa Goodman

NPI #1003168311 in Tyler, Texas

Provider Information

NPI Number: 1003168311
Entity Type: Individual
Name: Alisa Goodman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Oct 10, 2012
Last Updated: Oct 10, 2012

Practice Location

Address: 2323 W FRONT ST
City: Tyler
State: Texas
ZIP Code: 75702-7704
Phone: (903) 597-1351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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