MEDICARE: ASHLEY A GOODMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1356291926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY A GOODMAN

Provider Business Mailing Address
First Line	:	122 W MENLO AVE
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-0238
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2251 W MORRIS AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-1223
Country	:	US
Telephone Number	:	559-451-4530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ ASHLEY A GOODMAN ” Practice Location

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