| Brian H. Goldman, Ph.d., Pc | |
|
347 Dahlonega St Suite 103 Cumming GA 30040-2406 | |
| (678) 495-6143 | |
| (678) 455-9496 |
| Full Name | Brian H. Goldman, Ph.d., Pc |
|---|---|
| Speciality | Psychologist |
| Location | 347 Dahlonega St, Cumming, Georgia |
| Authorized Official Name and Position | Brian Hunter Goldman (PRESIDENT) |
| Authorized Official Contact | 6784856143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian H. Goldman, Ph.d., Pc 347 Dahlonega St Suite 103 Cumming GA 30040-2406 Ph: (678) 495-6143 | Brian H. Goldman, Ph.d., Pc 347 Dahlonega St Suite 103 Cumming GA 30040-2406 Ph: (678) 495-6143 |
| NPI Number | 1174795298 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 03/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174795298 | NPI | - | NPPES |
| 00895265E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY002429 (Georgia) | Primary |
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