Individual
DR. BRETT RANDOLPH GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
230 MIDDLE NECK RD, SUITE 3, GREAT NECK, NY 11021-1113
(516) 466-6440
(516) 466-6441
Mailing address
230 MIDDLE NECK RD, SUITE 3, GREAT NECK, NY 11021-1113
(516) 466-6440
(516) 466-6441
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016396
NY
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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