| Little Silver Behavioral Health, Llc | |
|
34 Sycamore Ave Bldg 2 Little Silver NJ 07739-1228 | |
| (732) 576-8925 | |
| (732) 576-8814 |
| Full Name | Little Silver Behavioral Health, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 34 Sycamore Ave Bldg 2, Little Silver, New Jersey |
| Authorized Official Name and Position | David Michael Goldberg (PRESIDENT) |
| Authorized Official Contact | 7325768925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Silver Behavioral Health, Llc 34 Sycamore Ave Bldg 2 Little Silver NJ 07739-1228 Ph: (732) 576-8925 | Little Silver Behavioral Health, Llc 34 Sycamore Ave Bldg 2 Little Silver NJ 07739-1228 Ph: (732) 576-8925 |
| NPI Number | 1508353137 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 04/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508353137 | NPI | - | NPPES |
| 0584746 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35SI00345400 (New Jersey) | Primary |
| 1041C0700X | Social Worker - Clinical | 44SL05240800 (New Jersey) | Secondary |
David M. Goldberg, Ph.d., P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 34 Sycamore Ave, Building 2, Little Silver, NJ 07739 Phone: 732-576-8925 Fax: 732-576-8814 | |
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