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Organization

LITTLE SILVER BEHAVIORAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID MICHAEL GOLDBERG PH,D, (PRESIDENT)
(732) 576-8925
Entity
Organization

Contact information

Practice address
34 SYCAMORE AVE BLDG 2, LITTLE SILVER, NJ 07739-1228
(732) 576-8925
(732) 576-8814
Mailing address
34 SYCAMORE AVE BLDG 2, LITTLE SILVER, NJ 07739-1228
(732) 576-8925
(732) 576-8814

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00345400
NJ
1041C0700X
Clinical Social Worker
44SL05240800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0584746
NJ
Enumeration date
04/19/2018
Last updated
04/19/2018
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