Provider Demographics
NPI:1285856997
Name:BARBARA L. GOLDMAN, PH.D., & PHILIP C. BOSWELL, PH.D., P.A.
Entity Type:Organization
Organization Name:BARBARA L. GOLDMAN, PH.D., & PHILIP C. BOSWELL, PH.D., P.A.
Other - Org Name:GOLDMAN & BOSWELL, PA
Other - Org Type:Other Name
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:CARPENTER
Authorized Official - Last Name:BOSWELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-445-1400
Mailing Address - Street 1:250 CATALONIA AVE
Mailing Address - Street 2:SUITE 802
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6735
Mailing Address - Country:US
Mailing Address - Phone:305-445-1400
Mailing Address - Fax:
Practice Address - Street 1:250 CATALONIA AVE
Practice Address - Street 2:SUITE 802
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6735
Practice Address - Country:US
Practice Address - Phone:305-445-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY2067 PY2234103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL45917Medicare UPIN