Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW ETHAN GOLDENBERG, PSY D
Active Sole ProprietorDR. MATTHEW ETHAN GOLDENBERG, PSY D is a Psychologist healthcare provider located in TUMWATER, Washington. NPI 1417106675 is currently active in the NPPES registry. Verify at CMS.
Psychologist · TUMWATER, WA
Registration Details
- NPI Number
- 1417106675
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2008 (17.912429408337 yrs)
- Last Updated
- Aug 19, 2021
- Licenses
-
LH6039598 (WA)PY60416098 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 TUMWATER BLVD SESUITE 210TUMWATER, WA, 98501Browse WA providers · Browse ZIP 98501
- Phone
- 2063959193
- Fax
- 3604642720
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.