Organization
SHORE THERAPY CENTER FOR WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORRIE A GOLDBERG PHD (LICENSED CLINICAL PSYCHOLOGIST)
(630) 362-0129
Entity
Organization
Contact information
Practice address
3330 OLD GLENVIEW RD STE 16, WILMETTE, IL 60091-2963
(630) 362-0129
Mailing address
1006 MARION AVE, HIGHLAND PARK, IL 60035-5130
(630) 362-0129
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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