MS. Lisa Ellen Goodman, LPC

NPI #1689661548 in Bradford, Pennsylvania

Provider Information

NPI Number: 1689661548
Entity Type: Individual
Name: MS. Lisa Ellen Goodman, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Oct 5, 2005
Last Updated: Jun 30, 2017

Practice Location

Address: 125 MAIN ST
Address 2: #601
City: Bradford
State: Pennsylvania
ZIP Code: 16701-2025
Phone: (814) 368-8644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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