Organization
MANIFEST PSYCHOLOGY, INC.
Active
Other names
Laura Goldman PSYD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA GOLDMAN PSYD (PRESIDENT)
(772) 242-9950
Entity
Organization
Contact information
Practice address
900 SE OCEAN BLVD STE 250F, STUART, FL 34994-3501
(772) 242-9950
(754) 206-1978
Mailing address
900 SE OCEAN BLVD STE 250F, STUART, FL 34994-3501
(772) 242-9950
(754) 206-1978
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/17/2019
Last updated
05/15/2022
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