Provider Demographics
NPI:1669692174
Name:GOODMAN, JUDITH A (MS)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:A
Last Name:GOODMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
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Mailing Address - Street 1:8989 N PORT WASHINGTON RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53217
Mailing Address - Country:US
Mailing Address - Phone:414-352-3336
Mailing Address - Fax:414-352-3928
Practice Address - Street 1:8989 N PORT WASHINGTON RD
Practice Address - Street 2:SUITE 220
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53217
Practice Address - Country:US
Practice Address - Phone:414-352-3336
Practice Address - Fax:414-352-3928
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional