DR. PH. D. Mark P Goldman, NPI 1740399328
Clinical Neuropsychologist in Kerrville, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1740399328
NPI Entity Type Individual
Provider Name DR. PH. D. Mark P Goldman
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 222 Sidney Baker St S, Suite 500, Kerrville, TX, US
Provider Mailing Address Po Box 291993, Kerrville, TX, US, 780291993
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

103G00000X

Taxonomy Name Clinical Neuropsychologist
Classification

Clinical Neuropsychologist

Group

Behavioral Health & Social Service Providers

License No. 22476
License State TX
Description A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Business Address

DR. PH. D. Mark P Goldman
222 Sidney Baker St S
Suite 500

Kerrville, TX, US

Phone: 830-895-7675
Fax: 830-896-9340

Mailing Address

DR. PH. D. Mark P Goldman
Po Box 291993
Kerrville, TX, US
ZIP 780291993
Phone: 830-895-7675
Fax: 830-896-9340

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

103TC0700X

Behavioral Health & Social Service Providers

Psychologist

22476 TX No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
098724001 TX MEDICAID 05
098724001 TX CHIPS 01
00H51R TX BLUE CROSS 01

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