NPI 1205056074

Paul David Goodman, MD

Practitioner Child & Adolescent Psychiatry Physician Ellsworth, ME

Practice location

Address: 204 Water St, Ellsworth, ME 04605-2038
Phone: (207) 667-2061
Fax: (207) 667-8624
Mailing address: PO Box 878, Ellsworth, ME 04605-0878

Registered specialties

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 009621 (ME)

Other Psychiatry & Neurology providers in Maine →

Registry record

NPI: 1205056074
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2007
Record last updated: 9 Jul 2007

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.