| Doctor Name: | PHYLLIS GOLDBERG |
| NPI Number: | 1154433639 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW LICSW DCSW |
| License Number: | CW013788 |
| Business Practice Address: | 921 North Bethlehem Pike 2nd Floor Spring House, PA - 19477 |
| Business Phone Number: | 2158859700 |
| Business Fax Number: | 2158867678 |
| Mailing Address: | 8302 Old York Road, Suite 12 ELKINS PARK |
| State: | PA |
| Postal Code: | 19027 |
| Phone Number: | 2158859700 |
| Fax Number: | 2158867678 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW013788 |
| 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 |