Individual
DR. SUZANNE M GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMH
Contact information
Practice address
2029 Q ST NW, #2, WASHINGTON, DC 20009-1058
(202) 588-0248
Mailing address
2029 Q ST NW, #2, WASHINGTON, DC 20009
(202) 588-0248
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1007
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010281229
—
VA
Enumeration date
08/02/2006
Last updated
09/08/2008
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