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Individual

DR. RAYCHUL GOLDENBERG-BIVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
154 WEST WASHINGTON ST, SUFFOLK, VA 23434
(757) 925-0222
(757) 925-1414
Mailing address
154 WEST WASHINGTON ST, SUFFOLK, VA 23434
(757) 925-0222
(757) 925-1414

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004150
VA

Other

Enumeration date
06/26/2012
Last updated
08/15/2012
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