Individual
KENNETH GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
215 HIGHLAND AVE, SUITE C, HADDON TOWNSHIP, NJ 08108-2634
(856) 547-4000
(856) 547-1118
Mailing address
PO BOX 3702, CHERRY HILL, NJ 08034-0569
(856) 547-4000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2258
NJ
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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