Goldberg, Corrie Adina
Goldberg, Corrie Adina is an sole proprietor health care provider with primary practice located at 1189 Wilmette Ave # 174 , Wilmette IL 60091-2719. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goldberg, Corrie Adina can be contacted via phone (847) 558-1546.Contact Information
Primary practice address
1189 Wilmette Ave # 174
Wilmette IL 60091-2719
Phone: (847) 558-1546
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 071.009961 | Illinois |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071.009961 | Illinois |
Profile Details
NPI number | 1821553934 |
---|---|
LBN Legal business name | Goldberg, Corrie Adina |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 2nd, 2019 |
Last updated | Feb 7th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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