| Doctor Name: | DR. DAVID GOLDBERG |
| NPI Number: | 1164463337 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | PSY 18635 |
| Business Practice Address: | 400 Office Park Dr Ste 120 Mountain Brk, AL - 352233409 |
| Business Phone Number: | 2053806304 |
| Business Fax Number: | 2058025371 |
| Mailing Address: | 400 Office Park Dr Ste 120, MOUNTAIN BRK |
| State: | AL |
| Postal Code: | 352233409 |
| Phone Number: | 2053806304 |
| Fax Number: | 2058025371 |
| NPI Enumeration Date: | 06/09/2006 |
| NPI Last Update Date: | 08/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 18635 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |