Individual
STEPHEN ALAN GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8018 BUSTLETON AVE., 2ND FLR., PHILA., PA 19152-2802
(215) 742-6773
(215) 742-5829
Mailing address
220 WARING RD, ELKINS PARK, PA 19027-2125
(215) 635-3448
(215) 635-3448
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003906-L
PA
103TC0700X
Clinical Psychologist
SI02393
NJ
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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