Jessica Ellen Goldstein in Belmont - Clinical

Jessica Ellen Goldstein - NPI 1477542777

Jessica Ellen Goldstein is a Clinical in Belmont, Massachusetts. Jessica Ellen Goldstein practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Ellen Goldstein is 1477542777. The last update date is 2007-07-08.

Jessica Ellen Goldstein's current location address is 115 Mill St, Belmont, Massachusetts. You can contact this provider via phone number 6178552206 and fax number 6178553691. The mailing address for Jessica Ellen Goldstein is 115 Mill St, Belmont, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica Ellen Goldstein
Address 115 Mill St, Belmont, Massachusetts
Phone Number 6178552206
Fax Number 6178553691
Sole Proprietor X
Credentials PHD

NPI Number Detail

NPI Number 1477542777
Provider Enumeration Date 2005-10-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 115 Mill St
City Belmont
State Massachusetts (MA)
Post Code 24781041
Phone Number 6178552206
Fax Number 6178553691

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 7707
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
W05983 MA BLUE CROSS/BLUE SHIELD

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FAQs about Jessica Ellen Goldstein

What is the unique identification code assigned to Jessica Ellen Goldstein by the Centers for Medicare & Medicaid Services?

The Jessica Ellen Goldstein has been issued the NPI (National Provider Identifier) 1477542777. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jessica Ellen Goldstein's facilities are situated?

The facilities of Jessica Ellen Goldstein are physically located at the following address: 115 Mill St, Belmont, MA, 24781041.

What is Jessica Ellen Goldstein's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jessica Ellen Goldstein is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did the Jessica Ellen Goldstein receive the assignment of its 1477542777 from the Centers for Medicare & Medicaid Services?

The Jessica Ellen Goldstein was issued its 1477542777 by the Centers for Medicare & Medicaid Services on 2005-10-19.

When was the Jessica Ellen Goldstein's information last updated?

The Jessica Ellen Goldstein's information was last updated on 2007-07-08.

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