Individual
SUSAN J GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
442 RANDOLPH ST, NORTHVILLE, MI 48167-1465
(248) 514-5277
Mailing address
442 RANDOLPH ST, NORTHVILLE, MI 48167-1465
(248) 514-5277
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P506433
MI
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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