| Henry L. Goldstein, Psy.d., Llc | |
|
609 W Johnson Ave Ste 108 Cheshire CT 06410-4502 | |
| (203) 439-0130 | |
| (203) 651-7840 |
| Full Name | Henry L. Goldstein, Psy.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 609 W Johnson Ave Ste 108, Cheshire, Connecticut |
| Authorized Official Name and Position | Henry L Goldstein (PSYCHOLOGIST) |
| Authorized Official Contact | 2034390130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry L. Goldstein, Psy.d., Llc 609 W Johnson Ave Ste 108 Cheshire CT 06410-4502 Ph: (203) 439-0130 | Henry L. Goldstein, Psy.d., Llc 609 W Johnson Ave Ste 108 Cheshire CT 06410-4502 Ph: (203) 439-0130 |
| NPI Number | 1245305200 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 12/28/2018 |
| Medicare PECOS PAC ID | 8022061886 |
|---|---|
| Medicare Enrollment ID | O20050222000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245305200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 002603 (Connecticut) | Primary |
| Provider Name | Henry L Goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639244171 PECOS PAC ID: 4385697143 Enrollment ID: I20050223000560 |
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