Organization
GOLDBERG CONSULTING GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J. GOLDBERG ED.D. (100 OWNER/PRESIDENT)
(480) 831-0746
Entity
Organization
Contact information
Practice address
600 EAST BASELINE ROAD, SUITE C-1, TEMPE, AZ 85283-1247
(480) 831-0746
(480) 777-8521
Mailing address
600 EAST BASELINE ROAD, SUITE C-1, TEMPE, AZ 85283-1267
(480) 831-0746
(480) 777-8521
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1045
AZ
103TC1900X
Counseling Psychologist
1045
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1045
AZ
103TF0000X
Family Psychologist
1045
AZ
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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