Daniel Bass Goldman | |
425 Cross St #111 Punta Gorda FL 33950-4877 | |
(941) 255-5489 | |
(941) 255-5481 |
Full Name | Daniel Bass Goldman |
---|---|
Speciality | Psychologist - Counseling |
Location | 425 Cross St, Punta Gorda, Florida |
Authorized Official Name and Position | Daniel Bass Goldman (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 9412555489 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Daniel Bass Goldman 425 Cross St #111 Punta Gorda FL 33950-4877 Ph: (941) 255-5489 | Daniel Bass Goldman 425 Cross St #111 Punta Gorda FL 33950-4877 Ph: (941) 255-5489 |
NPI Number | 1114288487 |
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Provider Enumeration Date | 06/04/2012 |
Last Update Date | 06/04/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114288487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | PY8470 (Florida) | Primary |
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