Jordan Goodman

NPI #1194469189 in Spanish Fork, Utah

Provider Information

NPI Number: 1194469189
Entity Type: Individual
Name: Jordan Goodman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Enumeration Date: Apr 25, 2022
Last Updated: Apr 25, 2022

Practice Location

Address: 350 S MAIN ST
City: Spanish Fork
State: Utah
ZIP Code: 84660-2408
Phone: (801) 354-7416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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