Individual
ZEV I GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1756 SAGAMORE RD, NORTHFIELD, OH 44067-1086
(330) 467-7131
Mailing address
30 E BROAD ST, 11TH FL. ATTN: TONYA FASONE, COLUMBUS, OH 43215-3414
(614) 466-9930
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3374
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0875138
—
OH
Enumeration date
09/22/2006
Last updated
07/08/2007
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