| Doctor Name: | DEB N GOLDBERG |
| NPI Number: | 1518055086 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ICAADC, LPC, PMH |
| License Number: | CAC 3835 |
| Business Practice Address: | 92300 Overseas Hwy Suite 202 Tavernier, FL - 330702726 |
| Business Phone Number: | 3059061032 |
| Business Fax Number: | 3059066929 |
| Mailing Address: | 151 Azalea St, TAVERNIER |
| State: | FL |
| Postal Code: | 330702201 |
| Phone Number: | 3059061032 |
| Fax Number: | 3059066929 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 03/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CAC 3835 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |