Goldenberg, Cheryl

Goldenberg, Cheryl is an individual health care provider with primary practice located at 5100 Gamble Dr Ste 100 , Saint Louis Park MN 55416-1582. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goldenberg, Cheryl can be contacted via phone (952) 541-2500.

Contact Information

Primary practice address
5100 Gamble Dr Ste 100 Saint Louis Park MN 55416-1582
Fax: (952) 541-2539
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4072 Minnesota

Profile Details

NPI number 1598865354
LBN Legal business name Goldenberg, Cheryl
Credentials PSYD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Oct 11th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598865354 NPPES
Minnesota MEDICAID 518514900

Popular Providers