Goldmuntz, Penelope
Goldmuntz, Penelope is an individual health care provider with primary practice located at 169 Libbey Industrial Pkwy 2Nd Floor, Weymouth MA 02189-3101. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goldmuntz, Penelope can be contacted via phone (781) 682-1060.Contact Information
Primary practice address
169 Libbey Industrial Pkwy 2Nd Floor
Weymouth MA 02189-3101
Phone: (781) 682-1060
Fax: (781) 682-1061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6073 | Massachusetts |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 6073 | Massachusetts |
Profile Details
| NPI number | 1710069109 |
|---|---|
| LBN Legal business name | Goldmuntz, Penelope |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710069109 | NPPES |
| Massachusetts | Other | W04877 | BCBC PROVIDER NUMBER |
| Massachusetts | Other | 6100648 | BCBC PROVIDER NUMBER |
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