Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NATHANIEL VAN GOODLOW, PH.D.
Active Sole ProprietorNATHANIEL VAN GOODLOW, PH.D. is a Prescribing Psychologist healthcare provider located in SAN LEANDRO, California. NPI 1528278561 is currently active in the NPPES registry. Verify at CMS.
Prescribing Psychologist · SAN LEANDRO, CA
Registration Details
- NPI Number
- 1528278561
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2007 (19.251975591559 yrs)
- Last Updated
- Jul 9, 2007
- License
-
PSY14990 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
433 CALLAN AVESUITE 307SAN LEANDRO, CA, 945774643Browse CA providers · Browse ZIP 94577
- Phone
- 5103106994
- Primary Specialty
-
Prescribing Psychologist
103TP0016X
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.