Individual
DR. KEITH MCGOLDRICK
Active
Individual
DR. KEITH MCGOLDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
9524802-2501
UT
103T00000X
Psychologist
9524802-2501
UT
103TA0700X
Adult Development & Aging Psychologist
9524802-2501
UT
103TB0200X
Cognitive & Behavioral Psychologist
9524802-2501
UT
103TC0700X
Clinical Psychologist
9524802-2501
UT
103TF0200X
Forensic Psychologist
9524802-2501
UT
103TH0100X
Health Service Psychologist
9524802-2501
UT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
9524802-2501
UT
Other
Enumeration date
04/27/2009
Last updated
11/05/2019
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