Organization
BRIAN H. GOLDMAN, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN HUNTER GOLDMAN PH.D. (PRESIDENT)
(678) 485-6143
Entity
Organization
Contact information
Practice address
347 DAHLONEGA ST, SUITE 103, CUMMING, GA 30040-2406
(678) 495-6143
(678) 455-9496
Mailing address
347 DAHLONEGA ST, SUITE 103, CUMMING, GA 30040-2406
(678) 495-6143
(678) 455-9496
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002429
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00895265E
—
GA
Enumeration date
03/28/2008
Last updated
03/28/2008
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