Doctor Name: | MS. MAUREEN R GOLDBLATT |
NPI Number: | 1275791345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC, LCDCIII |
License Number: | 051001 |
Business Practice Address: | 84 Remick Blvd Springboro, OH - 450669168 |
Business Phone Number: | 9376190444 |
Business Fax Number: | 9376190445 |
Mailing Address: | 84 Remick Blvd, SPRINGBORO |
State: | OH |
Postal Code: | 450669168 |
Phone Number: | 9376190444 |
Fax Number: | 9376190445 |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 09/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 051001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |