Goldberg, Judith Freya

Goldberg, Judith Freya is an sole proprietor health care provider with primary practice located at 955 Main St Suite 105, Winchester MA 01890-1961. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goldberg, Judith Freya can be contacted via phone (781) 721-0663.

Contact Information

Primary practice address
955 Main St Suite 105 Winchester MA 01890-1961
Fax: (781) 729-3210
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1533 Massachusetts

Profile Details

NPI number 1437190642
LBN Legal business name Goldberg, Judith Freya
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Apr 9th, 2012 - about 13 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 1437190642 NPPES
Massachusetts Other 154168 MAGELLAN

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