Provider Demographics
NPI:1699070631
Name:GOLDBERG, CHRISTINE BETH (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:BETH
Last Name:GOLDBERG
Suffix:
Gender:F
Credentials:PSYD
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Mailing Address - Street 1:105 CLOVER DR
Mailing Address - Street 2:PUPIL PERSONNEL SERVICES-GREAT NECK PUBLIC SCHOOLS
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-1031
Mailing Address - Country:US
Mailing Address - Phone:516-441-4970
Mailing Address - Fax:516-441-4270
Practice Address - Street 1:105 CLOVER DR
Practice Address - Street 2:PUPIL PERSONNEL SERVICES-GREAT NECK PUBLIC SCHOOLS
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-1031
Practice Address - Country:US
Practice Address - Phone:516-441-4970
Practice Address - Fax:516-441-4270
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool