Individual
JUDITH FREYA GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
955 MAIN ST, SUITE 105, WINCHESTER, MA 01890-1961
(781) 721-0663
(781) 729-3210
Mailing address
955 MAIN ST, SUITE 105, WINCHESTER, MA 01890-1961
(781) 721-0663
(781) 729-3210
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1533
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154168
MAGELLAN
MA
Enumeration date
06/09/2006
Last updated
04/09/2012
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