NPI 1003168311

Alisa Goodman

Practitioner Psychologist Tyler, TX

Practice location

Address: 2323 W Front St, Tyler, TX 75702-7704
Phone: (903) 597-1351
Fax: (903) 535-7386

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 14870 (TX)

Other Psychologist providers in Texas →

Registry record

NPI: 1003168311
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2012
Record last updated: 10 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.