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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AMY M GOODRUM, PH.D.

Active Sole Proprietor

DR. AMY M GOODRUM, PH.D. is a Clinical Psychologist healthcare provider located in FAYETTEVILLE, New York. NPI 1134232747 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · FAYETTEVILLE, NY

Registration Details

NPI Number
1134232747
Provider Type
Individual
Gender
Male
NPI Issued
Aug 16, 2006 (19.812708815306 yrs)
Last Updated
Jul 8, 2007
License
012872 (NY)
Sole Proprietor
Yes

Practice Information

Address
7000 E GENESEE ST
LYNDON OFFICE PARK BLDG. C
FAYETTEVILLE, NY, 130661131
Browse NY providers · Browse ZIP 13066
Phone
3154494677
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in FAYETTEVILLE, NY

Name Credential NPI
DR. DAVID BARRY GREENBERG PH.D. 1184634529
DR. JAMES W MIKESELL PH.D. 1194816512
DR. DENNIS JOHN MCKILLOP PH.D. 1043305691
DR. THOMAS JOHN KRISHER PSY.D. 1346397965
DR. TANYA ESTELLA WILLIAMSON PH.D. 1720134489
DR. ANCY A. ABRAHAM PH.D. 1790973659
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.