Doctor Name: | HOWARD MARC GOLDFISCHER |
NPI Number: | 1033241120 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | PS00902 |
Business Practice Address: | 100 Deerfield Rd Windsor, CT - 060954252 |
Business Phone Number: | 8607149500 |
Business Fax Number: | 8607148979 |
Mailing Address: | 100 Deerfield Rd, WINDSOR |
State: | CT |
Postal Code: | 060954252 |
Phone Number: | 8607149500 |
Fax Number: | 8607148979 |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 09/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PS00902 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |