Individual
DERYL GOLDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
16530 VENTURA BLVD, STE. 501, ENCINO, CA 91436-4554
(818) 386-1094
(818) 386-1182
Mailing address
16530 VENTURA BLVD, STE. 501, ENCINO, CA 91436-4554
(818) 386-1094
(818) 386-1182
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
15273
CA
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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