Individual
LISA D GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-9170
Mailing address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-9170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006275
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/04/2016
Last updated
02/24/2026
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