Individual provider · Type 1 NPI

Krisztina Bodog Goodman, PSYD

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1033990148 Active

Practice location

3914 Murphy Canyon Rd Ste A205
San Diego, CA 92123-4423

Call (858) 345-7103 Map

Mailing address

4720 Fairport Way
San Diego, CA 92130-8714

Other practice locations

  • 4720 Fairport Way, San Diego, CA 92130-8714 · (858) 794-7332

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033990148

Krisztina Bodog Goodman, PSYD's National Provider Identifier is 1033990148, issued on Oct 13, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Oct 13, 2023.