Individual
DR. MARY GOLDSTEIN MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10 WALL ST, NORWALK, CT 06850-3438
(203) 847-3369
(203) 454-0404
Mailing address
63 GODFREY RD W, WESTON, CT 06883-1304
(203) 221-0547
(203) 454-0404
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
000804
CT
103T00000X
Psychologist
3560
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000804
PSYCHOLOGIST LICENSE
CT
01
—
3560
PSYCHOLOGIST LICENSE
AZ
Enumeration date
08/04/2006
Last updated
07/08/2007
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