Goldstein, Mary A

Goldstein, Mary A is an individual health care provider with primary practice located at 1501 6Th St Ste C , La Grande OR 97850-2419. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goldstein, Mary A can be contacted via phone (541) 963-6715.

Contact Information

Primary practice address
1501 6Th St Ste C La Grande OR 97850-2419
Fax: (541) 962-7440
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L2874 Oregon

Profile Details

NPI number 1407866213
LBN Legal business name Goldstein, Mary A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jun 5th, 2018 - about 6 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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