Goldberg, Harry David

Goldberg, Harry David is an individual health care provider with primary practice located at 12220 Foothill Blvd , Sylmar CA 91342. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Goldberg, Harry David can be contacted via phone (626) 357-3207.

Contact Information

Primary practice address
12220 Foothill Blvd Sylmar CA 91342
Phone: (626) 357-3207
Fax: (626) 301-9590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY091810 California

Profile Details

NPI number 1437183282
LBN Legal business name Goldberg, Harry David
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1437183282 NPPES
California MEDICAID PSY91810

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