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Individual

DR. MARCIE ILENE GOLDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4452 PARK BLVD STE 101, SAN DIEGO, CA 92116-4039
(619) 952-8077
(619) 239-7335
Mailing address
1332 BANCROFT ST, SAN DIEGO, CA 92102
(619) 952-8077
(619) 239-7335

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14404
CA

Other

Enumeration date
09/05/2006
Last updated
02/18/2010
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