Individual
KEVIN J GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
211 E 7TH ST STE 620, AUSTIN, TX 78701
(800) 370-3651
(877) 515-7147
Mailing address
1 E SUPERIOR ST STE 506, CHICAGO, IL 60611-2593
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37938
TX
Other
Enumeration date
07/25/2017
Last updated
01/02/2024
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