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Contact Information

AYO MARIA GOODEN, PH.D., ABPBC, LLC
1210 CHEYNEY RD
WEST CHESTER, PA19382-8502
 Phone: 610-453-2849
 Fax: 484-315-8186
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AYO MARIA GOODEN, PH.D., ABPBC, LLC

NPI # 1386023869
LBN Legal business name AYO MARIA GOODEN, PH.D., ABPBC, LLC
Authorized official AYO GOODEN - (LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/29/2015
Last updated 05/29/2015 - About 11 years ago
Identifiers
PA License # PS016573
PA Medicaid 1025453330001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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