DR. Mark David Goodman, PHD FPPR

NPI #1629039854 in Hutchinson, Kansas

Provider Information

NPI Number: 1629039854
Entity Type: Individual
Name: DR. Mark David Goodman, PHD FPPR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD FPPR
Enumeration Date: Mar 29, 2006
Last Updated: Jan 31, 2017

Practice Location

Address: 125 W. 2ND AVENUE
Address 2: SUITE E
City: Hutchinson
State: Kansas
ZIP Code: 67501-5300
Phone: (620) 663-4802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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Organizations

Provider Name	Specialty	City
Lyndal J Penner Ed.s. LLC	Psychologist - Clinical	Hutchinson	AI Deep Dive
Mark D. Goodman	Psychologist - Clinical	Hutchinson	AI Deep Dive

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