Stephen Alan Goldberg in Phila. - Clinical
Stephen Alan Goldberg - NPI 1720108962
Stephen Alan Goldberg is a Clinical in Phila., Pennsylvania. Stephen Alan Goldberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen Alan Goldberg is 1720108962. The last update date is 2007-07-08.
Stephen Alan Goldberg's current location address is 8018 Bustleton Ave., Phila., Pennsylvania. You can contact this provider via phone number 2157426773 and fax number 2157425829. The mailing address for Stephen Alan Goldberg is 8018 Bustleton Ave., Phila., Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Alan Goldberg |
|---|---|
| Address | 8018 Bustleton Ave., Phila., Pennsylvania |
| Phone Number | 2157426773 |
| Fax Number | 2157425829 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1720108962 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8018 Bustleton Ave. |
|---|---|
| City | Phila. |
| State | Pennsylvania (PA) |
| Post Code | 191522802 |
| Phone Number | 2157426773 |
| Fax Number | 2157425829 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS003906-L |
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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 provider identifier assigned to Stephen Alan Goldberg?
The Stephen Alan Goldberg has been issued the NPI (National Provider Identifier) 1720108962 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Stephen Alan Goldberg's physical address?
The Stephen Alan Goldberg is physically located at 8018 Bustleton Ave., in the city of Phila., PA, with the postal code 191522802.
What is Stephen Alan Goldberg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stephen Alan Goldberg is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When was the Stephen Alan Goldberg's 1720108962 issued?
The Stephen Alan Goldberg's 1720108962 was issued on 2007-03-30.
As of what date were the Stephen Alan Goldberg's details last updated?
The information pertaining to the Stephen Alan Goldberg, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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