NPI 1245457514 · live from the CMS NPI Registry
Diana Jeanne Goodman, MD
Psychiatry & Neurology, Neurology in Scarborough, ME. National Provider Identifier 1245457514, active.
NPI record
| NPI | 1245457514 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 49 Spring St, Scarborough, ME 04074 |
| Practice phone | 207-883-1414 |
| Mailing address | 300 Southborough Dr, Suite 201, South Portland, ME 04106 |
| Enumerated | April 19, 2007 |
| Last updated | August 18, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | LP01025 (RI) |
| Psychiatry & Neurology, Neurology | 2084N0400X | MD439848 (PA) |
| Psychiatry & Neurology, Neurology | 2084N0400X | MD 34440 (SC) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 036.134858 (IL) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | MD20895 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.