Goldman, Robyn Sue

Goldman, Robyn Sue is an individual health care provider with primary practice located at 2400 Main St , Bridgeport CT 06606-5323. 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 / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Goldman, Robyn Sue can be contacted via phone (203) 362-3908.

Contact Information

Primary practice address
2400 Main St Bridgeport CT 06606-5323
Phone: (203) 362-3908
Fax: (203) 362-2463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000151 Connecticut
Behavioral Health & Social Service Providers / Psychologist 103T00000X 003013 Connecticut

Profile Details

NPI number 1992924807
LBN Legal business name Goldman, Robyn Sue
Credentials ED.D
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Nov 1st, 2010 - about 14 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 1992924807 NPPES
Connecticut MEDICAID 004039251

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