Individual
DR. JOAN RITA GOLDBERG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
148 SUMNER ST, NEWTON, MA 02459-1956
(617) 964-3615
Mailing address
148 SUMNER ST, NEWTON, MA 02459-1956
(617) 964-3615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3396
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GOW03441
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/16/2005
Last updated
07/08/2007
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