Individual
ALAN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1518 WALNUT ST., STE. 804, PHILADELPHIA, PA 19102
(215) 399-9764
Mailing address
1000 JEFFERSON ST., STE. 2C, LYNCHBURG, VA 24509
(617) 379-0496
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS.004179-L
PA
103T00000X
Psychologist
PS004179L
PA
Other
Enumeration date
06/28/2006
Last updated
03/18/2015
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