Goldberg, Deb N

Goldberg, Deb N is an sole proprietor health care provider with primary practice located at 92300 Overseas Hwy Suite 202, Tavernier FL 33070-2726. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Goldberg, Deb N can be contacted via phone (305) 906-1032.

Contact Information

Primary practice address
92300 Overseas Hwy Suite 202 Tavernier FL 33070-2726
Phone: (305) 906-1032
Fax: (305) 906-6929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC 3835 Pennsylvania
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC 000024 Pennsylvania
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PMH 1364 Florida

Profile Details

NPI number 1518055086
LBN Legal business name Goldberg, Deb N
Credentials ICAADC, LPC, PMH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Mar 2nd, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518055086 NPPES
Pennsylvania Other 11702063 CAQH UNIVERSAL CREDENTIALING DATASOURCE

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