Individual
PETER DAVID GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170
Mailing address
1606 WOODSTOCK LN, RESTON, VA 20194-1623
(703) 282-0315
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001146
VA
Other
Enumeration date
08/30/2006
Last updated
11/16/2007
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