Goldberg, Glenn Marshall

Goldberg, Glenn Marshall is an individual health care provider with primary practice located at 9 St. Johns Medical Park Drive , St. Augustine FL 32086. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Goldberg, Glenn Marshall can be contacted via phone (904) 797-2705.

Contact Information

Primary practice address
9 St. Johns Medical Park Drive St. Augustine FL 32086
Phone: (904) 797-2705
Fax: (904) 797-2820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810002028 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 7295 Florida

Profile Details

NPI number 1093798936
LBN Legal business name Goldberg, Glenn Marshall
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jul 8th, 2007 - about 17 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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