| Debbie N Goldberg Llc | |
|
27 Sandy Ln Ste 190 Lewistown PA 17044-1357 | |
| (717) 953-9571 | |
| (717) 953-9576 |
| Full Name | Debbie N Goldberg Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 27 Sandy Ln Ste 190, Lewistown, Pennsylvania |
| Authorized Official Name and Position | Debbie N. Goldberg (MEMBER MANAGER) |
| Authorized Official Contact | 7179539571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debbie N Goldberg Llc 109 Cherry Ridge Rd State College PA 16803-3309 Ph: (717) 953-9571 | Debbie N Goldberg Llc 27 Sandy Ln Ste 190 Lewistown PA 17044-1357 Ph: (717) 953-9571 |
| NPI Number | 1386941789 |
|---|---|
| Provider Enumeration Date | 02/21/2011 |
| Last Update Date | 05/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386941789 | NPI | - | NPPES |
| 11702063 | Other | PA | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC000024 (Pennsylvania) | Primary |
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