Individual
IDELL GOLDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
98 SUDBURY ST, MARLBOROUGH, MA 01752-6748
(508) 878-3054
Mailing address
98 SUDBURY ST, MARLBOROUGH, MA 01752-6748
(508) 878-3054
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6935-
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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