Individual
DAVIDA Z. GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
7200 FRANCE AVE S, SUITE 128, EDINA, MN 55435-4300
(952) 831-7400
Mailing address
4120 AVONDALE ST, MINNETONKA, MN 55345-1805
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
LP4036
MN
103T00000X
Psychologist
LP4036
MN
103TC0700X
Clinical Psychologist
Primary
LP4036
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116883
HEALTHPARTNERS
MN
01
—
336G4GO
BLUE CROSS BLUE SHIELD
MN
01
—
61-90675
MEDICA
MN
Enumeration date
12/27/2005
Last updated
09/11/2025
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