Organization
JONATHAN E. GOLDBERG, PH.D., INC.
Active
Other names
Life Changes
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN E. GOLDBERG PH.D. (PRESIDENT/CEO)
(617) 928-8891
Entity
Organization
Contact information
Practice address
875 MASSACHUSETTS AVE, SUITE 64, CAMBRIDGE, MA 02139-3067
(617) 928-8891
Mailing address
875 MASSACHUSETTS AVE, SUITE 64, CAMBRIDGE, MA 02139-3067
(617) 928-8891
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8500
MA
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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