Individual
IVY GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
230 S BROAD ST, PHILADELPHIA, PA 19102-4121
(215) 253-0393
Mailing address
5145 PINE ST APT 2A, PHILADELPHIA, PA 19143-1542
(215) 253-0393
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC015937
PA
Other
Enumeration date
02/17/2025
Last updated
01/08/2026
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