| Doctor Name: | DANIEL B GOLDMAN |
| NPI Number: | 1154699189 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PY8470 |
| Business Practice Address: | 425 Cross St #111 Punta Gorda, FL - 339504877 |
| Business Phone Number: | 9415056162 |
| Business Fax Number: | 9415058604 |
| Mailing Address: | 425 Cross St, #111 PUNTA GORDA |
| State: | FL |
| Postal Code: | 339504877 |
| Phone Number: | 9415056162 |
| Fax Number: | 9415058604 |
| NPI Enumeration Date: | 12/05/2011 |
| NPI Last Update Date: | 01/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | PY8470 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |