NPI 1003342478
Bobby Joe Goodman, MA
Practice location
- Address
- 5501 Delmar Blvd STE B300, Saint Louis, MO 63112-3078
- Phone
- (314) 469-4908
Registered specialties (2)
Case Manager/Care Coordinator
Primary
Mental Health Counselor
Registry record
- NPI
- 1003342478
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 May 2017
- Record last updated
- 19 May 2023
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.