Individual
JUDITH ANNE GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
43 CENTER ST, NORTHAMPTON, MA 01060
(413) 586-6497
Mailing address
43 CENTER ST, NORTHAMPTON, MA 01060
(413) 586-6497
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6884
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500691
—
MA
01
—
W05892
BCBS
MA
Enumeration date
08/05/2006
Last updated
07/08/2007
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