Individual provider · Type 1 NPI
Stanley Louis Goodman
Prescribing (Medical) Psychologist · Encino, CA
Practice location
5535 Balboa Blvd, Suite 215
Encino, CA 91316-1516
Fax (818) 986-7834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prescribing (Medical) Psychologist Primary | 103TP0016X | C039950 (CA) |
Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
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About NPI 1447496930
Stanley Louis Goodman's National Provider Identifier is 1447496930, issued on Jan 5, 2009. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Encino, CA. The record was last updated on May 17, 2013.