Goldman, Mark P

Goldman, Mark P is an individual health care provider with primary practice located at 222 Sidney Baker St S Suite 500, Kerrville TX 78028-5994. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Goldman, Mark P can be contacted via phone (830) 895-7675.

Contact Information

Primary practice address
222 Sidney Baker St S Suite 500 Kerrville TX 78028-5994
Phone: (830) 895-7675
Fax: (830) 896-9340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 22476 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 22476 Texas

Profile Details

NPI number 1740399328
LBN Legal business name Goldman, Mark P
Credentials PH. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 9th, 2010 - about 15 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 1740399328 NPPES
Texas MEDICAID 098724001
Texas Other 098724001
Texas Other 00H51R

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