Provider Demographics
NPI:1477742310
Name:GOODMAN, KAREN D (RMT,LCAT)
Entity Type:Individual
Prefix:PROF
First Name:KAREN
Middle Name:D
Last Name:GOODMAN
Suffix:
Gender:F
Credentials:RMT,LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LOCUST PL
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1213
Mailing Address - Country:US
Mailing Address - Phone:973-655-5268
Mailing Address - Fax:
Practice Address - Street 1:10 LOCUST PL
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1213
Practice Address - Country:US
Practice Address - Phone:973-655-5268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000314225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist