Individual
DR. LEE GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1495 CHAIN BRIDGE RD, SUITE 202, MCLEAN, VA 22101-5727
(703) 624-0223
(571) 633-9798
Mailing address
1408 WHITLEY DR, VIENNA, VA 22182-1456
(703) 624-0223
(571) 633-9798
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002146
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7706472
—
VA
Enumeration date
07/11/2006
Last updated
09/27/2010
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