Doctor Name: | DR. ERICA D GOLDBLATT |
NPI Number: | 1003082462 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DSW, MSW, MBE |
License Number: | CW017247 |
Business Practice Address: | 727 Welsh Rd Suite 205 Huntingdon Valley, PA - 190066310 |
Business Phone Number: | 2149142119 |
Business Fax Number: | |
Mailing Address: | 2452 Walton Rd, HUNTINGDON VALLEY |
State: | PA |
Postal Code: | 190066122 |
Phone Number: | 2023296772 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2008 |
NPI Last Update Date: | 10/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW017247 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |