| Goldberg Consulting Group, Inc. | |
|
600 East Baseline Road Suite C-1 Tempe AZ 85283-1247 | |
| (480) 831-0746 | |
| (480) 777-8521 |
| Full Name | Goldberg Consulting Group, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 600 East Baseline Road, Tempe, Arizona |
| Authorized Official Name and Position | Kenneth J. Goldberg (100 OWNER/PRESIDENT) |
| Authorized Official Contact | 4808310746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goldberg Consulting Group, Inc. 600 East Baseline Road Suite C-1 Tempe AZ 85283-1267 Ph: (480) 831-0746 | Goldberg Consulting Group, Inc. 600 East Baseline Road Suite C-1 Tempe AZ 85283-1247 Ph: (480) 831-0746 |
| NPI Number | 1184145047 |
|---|---|
| Provider Enumeration Date | 06/30/2017 |
| Last Update Date | 06/30/2017 |
| Medicare PECOS PAC ID | 2769753011 |
|---|---|
| Medicare Enrollment ID | O20170803003429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184145047 | NPI | - | NPPES |
| Provider Name | Kenneth J Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336104512 PECOS PAC ID: 3375618853 Enrollment ID: I20080818000660 |
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