Individual
DR. MATTHEW ETHAN GOLDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
111 TUMWATER BLVD SE, SUITE 210, TUMWATER, WA 98501
(206) 395-9193
(360) 464-2720
Mailing address
111 TUMWATER BLVD SE, SUITE 210, TUMWATER, WA 98501
(206) 395-9193
(360) 464-2720
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LH6039598
WA
103T00000X
Psychologist
Primary
PY60416098
WA
Other
Enumeration date
09/12/2008
Last updated
08/19/2021
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