Goldstein, Thomas

Goldstein, Thomas is an sole proprietor health care provider with primary practice located at 124 Capulet Dr , St Augustine FL 32092-4537. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Goldstein, Thomas can be contacted via phone (904) 429-7806.

Contact Information

Primary practice address
124 Capulet Dr St Augustine FL 32092-4537
Phone: (904) 429-7806
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1356955397
LBN Legal business name Goldstein, Thomas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2020
Last updated Sep 8th, 2020 - about 4 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 1356955397 NPPES
New York Other K90367026 EMPIRE BLUE CROSS
New York Other K9036702604 EMPIRE BLUE CROSS

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