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Individual

DR. ROSALIND GOLDFARB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD CCDC

Contact information

Practice address
3309 SHIRLEY LN, CHEVY CHASE, MD 20815-3906
(301) 258-2626
(301) 654-1612
Mailing address
3309 SHIRLEY LN, CHEVY CHASE, MD 20815-3906
(301) 258-2626
(301) 654-1612

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
MD2123
MD
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4106
MD
103TC0700X
Clinical Psychologist
Primary
02123
MD
103TC0700X
Clinical Psychologist
0810002291
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116981500
MD
01
283821
MEDICARE PTAN
MD
Enumeration date
01/23/2006
Last updated
01/21/2021
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