| Daniel B Goldman Phd, Llc | |
|
3205 Southgate Cir Sarasota FL 34239-5514 | |
| (941) 444-5578 | |
| (941) 444-5592 |
| Full Name | Daniel B Goldman Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3205 Southgate Cir, Sarasota, Florida |
| Authorized Official Name and Position | Daniel B Goldman (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9414445578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel B Goldman Phd, Llc 3205 Southgate Cir Sarasota FL 34239-5514 Ph: (941) 444-5578 | Daniel B Goldman Phd, Llc 3205 Southgate Cir Sarasota FL 34239-5514 Ph: (941) 444-5578 |
| NPI Number | 1073877643 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Medicare PECOS PAC ID | 5597904177 |
|---|---|
| Medicare Enrollment ID | O20130611000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073877643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY8470 (Florida) | Primary |
| Provider Name | Daniel Bass Goldman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154699189 PECOS PAC ID: 2668630906 Enrollment ID: I20120216000211 |
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