Organization
FORWARD PROGRESS PERFORAMNCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A GOLDBERG PH.D. (PRESIENT)
(781) 883-7066
Entity
Organization
Contact information
Practice address
55 HOLLETT ST, SCITUATE, MA 02066
(781) 883-7066
Mailing address
1533 BLUE HERON DR, SARASOTA, FL 34239-3702
(781) 883-7066
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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