Goldberg, Jaclyn

Goldberg, Jaclyn is an individual health care provider with primary practice located at 10 Caldwell Rd , Augusta ME 04330-5735. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Goldberg, Jaclyn can be contacted via phone (207) 213-4520.

Contact Information

Primary practice address
10 Caldwell Rd Augusta ME 04330-5735
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1124689492
LBN Legal business name Goldberg, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2019
Last updated Jun 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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