Goldstein, Mark Joel

Goldstein, Mark Joel is an sole proprietor health care provider with primary practice located at 820 Las Gallinas Ave , San Rafael CA 94903-3410. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Goldstein, Mark Joel can be contacted via phone (415) 444-3522.

Contact Information

Primary practice address
820 Las Gallinas Ave San Rafael CA 94903-3410
Phone: (415) 444-3522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY6680 California

Profile Details

NPI number 1376606863
LBN Legal business name Goldstein, Mark Joel
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Jul 10th, 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.

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