Organization Name: | DAVID M. GOLDBERG, PH.D., P.A. |
NPI Number: | 1043532161 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID MICHAEL GOLDBERG (PRESIDENT) |
Mailing Address: | 34 Sycamore Ave Building 2 Little Silver |
State: | NJ US |
Postal Code: | 077391228 |
Phone Number: | 7325768925 |
Fax Number: | 7325768814 |
NPI Enumeration Date: | 02/16/2010 |
NPI Last Update Date: | 02/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05413400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |