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Individual

DR. DAVID B GOLDSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
6005 PARK AVE, SUITE 630 B, MEMPHIS, TN 38119-5202
(901) 853-3910
(901) 853-3160
Mailing address
PO BOX 382811, GERMANTOWN, TN 38183-2811
(901) 853-3910

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1315
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03222570
MS
01
4178754
BCBS OF TN
TN
Enumeration date
07/18/2006
Last updated
11/22/2010
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