Individual
KENNETH B GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1650 HUNTINGDON PIKE, MEADOWBROOK, PA 19046-8004
(215) 968-9380
(215) 968-9385
Mailing address
24 CATHLEEN DR, RICHBORO, PA 18954-1451
(215) 968-9380
(215) 968-9385
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS008680L
PA
Other
Enumeration date
01/15/2007
Last updated
09/08/2011
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