Organization
JBG CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA BETH GOLDENSOHN PSY.D. (LICENSED PSYCHOLOGIST)
(307) 733-8210
Entity
Organization
Contact information
Practice address
6855 SQUAW CREEK ROAD, JACKSON, WY 83001
(307) 733-1453
Mailing address
PO BOX 664, TETON VILLAGE, WY 83025-0664
(307) 733-1453
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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