Organization
MARCIE I. GOLDMAN, PH.D, PSYCHOLOGIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIE ILENE GOLDMAN PH.D. (CEO/ PSYCHOLOGIST)
(619) 952-8077
Entity
Organization
Contact information
Practice address
4452 PARK BLVD STE 101, SAN DIEGO, CA 92116-4039
(619) 952-8077
Mailing address
1332 BANCROFT ST, SAN DIEGO, CA 92102-2430
(619) 952-8077
(619) 239-7335
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14404
CA
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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