Mark Joel Goldstein, PH.D. Valid NPI
Individual provider · Psychologist · San Rafael, CA
- NPI
- 1376606863
- Type
- Individual (Type 1)
- Primary specialty
- Psychologist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103T00000X
- License number
- PSY6680 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-12-18
- Last updated
- 2007-07-10
Practice location
820 Las Gallinas Ave
San Rafael, CA 94903-3410
(415) 444-3522