Glenn Marshall Goldberg in St. Augustine - Clinical
Glenn Marshall Goldberg - NPI 1093798936
Glenn Marshall Goldberg is a Clinical in St. Augustine, Florida. Glenn Marshall Goldberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Glenn Marshall Goldberg is 1093798936. The last update date is 2007-07-08.
Glenn Marshall Goldberg's current location address is 9 St. Johns Medical Park Drive, St. Augustine, Florida. You can contact this provider via phone number 9047972705 and fax number 9047972820. The mailing address for Glenn Marshall Goldberg is 9 St. Johns Medical Park Drive, St. Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Marshall Goldberg |
|---|---|
| Address | 9 St. Johns Medical Park Drive, St. Augustine, Florida |
| Phone Number | 9047972705 |
| Fax Number | 9047972820 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1093798936 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9 St. Johns Medical Park Drive |
|---|---|
| City | St. Augustine |
| State | Florida (FL) |
| Post Code | 32086 |
| Phone Number | 9047972705 |
| Fax Number | 9047972820 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 810002028 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Glenn Marshall Goldberg by the Centers for Medicare & Medicaid Services?
The Glenn Marshall Goldberg has been assigned the NPI (National Provider Identifier) 1093798936 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Glenn Marshall Goldberg's facilities are geographically located?
The facilities of Glenn Marshall Goldberg are physically situated at the following location: 9 St. Johns Medical Park Drive, St. Augustine, FL, 32086.
What is Glenn Marshall Goldberg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Glenn Marshall Goldberg's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093798936 to Glenn Marshall Goldberg?
The Centers for Medicare & Medicaid Services assigned the 1093798936 to Glenn Marshall Goldberg on 2005-11-23.
When was the information related to Glenn Marshall Goldberg most recently updated or refreshed?
The details pertaining to the Glenn Marshall Goldberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.