| Doctor Name: | DR. TRUDIE GOLDMANN |
| NPI Number: | 1063420214 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH. D. |
| License Number: | 004696-01 |
| Business Practice Address: | 16 Dakin Ave Mount Kisco, NY - 105492826 |
| Business Phone Number: | 9146662927 |
| Business Fax Number: | |
| Mailing Address: | 44 Cedar Hill Rd, BEDFORD |
| State: | NY |
| Postal Code: | 105062042 |
| Phone Number: | 9142343433 |
| Fax Number: | |
| NPI Enumeration Date: | 08/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 004696-01 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |