Individual
HARRY DAVID GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
12220 FOOTHILL BLVD, SYLMAR, CA 91342
(626) 357-3207
(626) 301-9590
Mailing address
13263 VENTURA BLVD, #2, STUDIO CITY, CA 91604-1839
(818) 501-6090
(818) 501-6095
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY091810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY91810
—
CA
Enumeration date
07/10/2006
Last updated
07/08/2007
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