| Doctor Name: | DR. HOWARD B GOLDBERG |
| NPI Number: | 1154629723 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 366 |
| Business Practice Address: | 321 Main St Suite D Winooski, VT - 054041380 |
| Business Phone Number: | 8022385990 |
| Business Fax Number: | |
| Mailing Address: | 321 Main St, Suite D WINOOSKI |
| State: | VT |
| Postal Code: | 054041380 |
| Phone Number: | 8022385990 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2011 |
| NPI Last Update Date: | 03/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 366 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |