Provider Demographics
NPI:1710197496
Name:GOODSELL, CATHLEEN (RN,MSN, CRNP)
Entity type:Individual
Prefix:MRS
First Name:CATHLEEN
Middle Name:
Last Name:GOODSELL
Suffix:
Gender:F
Credentials:RN,MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 AUBREY AVE
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:REHABILITATION ASSOCIATES OF THE MAIN LINE
Practice Address - Street 2:600 HAVERFORD RD SUITE 100A
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-734-9002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP006760N363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics