Organization
DERYL GOLDENBERG A PSYCHOLOGICAL CORP.
Active
Organization
DERYL GOLDENBERG A PSYCHOLOGICAL CORP.
Active
Other names
Verdugo Hills Autism Project
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN DERYL GOLDENBERG PSYD (CHIEF EXECUTIVE OFFICER)
(805) 452-7528
Entity
Organization
Contact information
Practice address
16600 SHERMAN WAY, SUITE # 165, VAN NUYS, CA 91406-3875
(818) 386-1182
Mailing address
16600 SHERMAN WAY, SUITE # 165, VAN NUYS, CA 91406-3875
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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