Provider Demographics
NPI:1467638007
Name:GOODMAN, EDWARD DULANEY (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:DULANEY
Last Name:GOODMAN
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Gender:M
Credentials:PSYCHOLOGIST
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Mailing Address - Street 1:18352 DALLAS PKWY
Mailing Address - Street 2:SUITE 136-585
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-5227
Mailing Address - Country:US
Mailing Address - Phone:214-535-8847
Mailing Address - Fax:972-248-9063
Practice Address - Street 1:8350 MEADOW RD
Practice Address - Street 2:SUITE 272
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3768
Practice Address - Country:US
Practice Address - Phone:214-535-8847
Practice Address - Fax:972-248-9063
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX21521103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service