Individual
BARBARA JEAN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5 MIDFIELD ST, STONY BROOK, NY 11790
(631) 751-1055
Mailing address
5 MIDFIELD ST, STONY BROOK, NY 11790
(631) 751-1055
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5320
NY
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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