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Contact Information

DEVONAY OLSON GOODMAN
3085 N BROADWAY
ESCONDIDO, CA92026-8808
 Phone: 760-274-3166
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Interpreter

171R00000X
 

Rehabilitation Counselor

225C00000X
Indicates primary specialty

NPI Profile & details for DEVONAY OLSON GOODMAN · (Female)

NPI Number 1588395206
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2022
Last updated 12/02/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 115469
  • CA License # 22269
  • CA License # LPCC1010
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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