Richard Thayer Goldberg in Charlestown - Psychologist
Richard Thayer Goldberg - NPI 1326039512
Richard Thayer Goldberg is a Psychologist in Charlestown, Massachusetts. Richard Thayer Goldberg practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Richard Thayer Goldberg is 1326039512. The last update date is 2007-07-08.
Richard Thayer Goldberg's current location address is Po Box 9142, Charlestown, Massachusetts. You can contact this provider via phone number 6177240287 and fax number 6177262894. The mailing address for Richard Thayer Goldberg is Po Box 9142, Charlestown, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Thayer Goldberg |
|---|---|
| Address | Po Box 9142, Charlestown, Massachusetts |
| Phone Number | 6177240287 |
| Fax Number | 6177262894 |
| Sole Proprietor | X |
| Credentials | EDD |
NPI Number Detail
| NPI Number | 1326039512 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 9142 |
|---|---|
| City | Charlestown |
| State | Massachusetts (MA) |
| Post Code | 21299142 |
| Phone Number | 6177240287 |
| Fax Number | 6177262894 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1344 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W02464 | MA | BCBS MA | |
| 520004 | MA | -- |
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Where is the Richard Thayer Goldberg located?
The Richard Thayer Goldberg is located at Po Box 9142, Charlestown, MA 21299142.
Could you please provide the complete physical location address of Richard Thayer Goldberg?
The Richard Thayer Goldberg is physically situated at Po Box 9142, in the city of Charlestown, state of MA, with the postal code 21299142.
What is the Richard Thayer Goldberg's specialty and taxonomy code?
The Richard Thayer Goldberg's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
When was the Richard Thayer Goldberg's 1326039512 issued?
The Richard Thayer Goldberg's 1326039512 was issued on 2005-11-04.
When was the information pertaining to Richard Thayer Goldberg most recently updated or revised?
The details related to Richard Thayer Goldberg, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.