Most Relevant Information
Provider Data
| NPI Number: | 1003534587 |
| Provider Name: | DIANA GOODSELL ED.S., NCSP |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: | 412855 |
Most Important Dates
| Enumeration Date: | 08/19/2022 |
| Last Updated: | 08/19/2022 |
Provider Practice Location
731 VALUE RIDGE AVE
HENDERSON
NV
890125313
Practice Location Phone/Fax
| Phone: | 7026841741 |
| Fax: |
Provider Mailing Location
731 VALUE RIDGE AVE
HENDERSON
NV
890125313
Provider Mailing Phone/Fax
| Phone: | 7026841741 |
| Fax: |