Organization
BEACH BUNGALO LIMITED LIABILITY COMPANY
Active
Organization
BEACH BUNGALO LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRY LYNN GOLDMAN LCSW (PRESIDENT)
(732) 557-0354
Entity
Organization
Contact information
Practice address
892 COMMON WAY, SUITE H, TOMS RIVER, NJ 08753
(732) 557-0354
(732) 286-4334
Mailing address
712 E LONG BRANCH AVENUE, BAYVILLE, NJ 08721
(732) 557-0354
(732) 286-4334
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05201900
NJ
Other
Enumeration date
02/26/2007
Last updated
11/15/2007
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