Provider Demographics
NPI:1326311176
Name:HAROLD M. GOLDSTEIN LLC
Entity Type:Organization
Organization Name:HAROLD M. GOLDSTEIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:M
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:201-368-1034
Mailing Address - Street 1:938 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07607-1446
Mailing Address - Country:US
Mailing Address - Phone:201-368-1034
Mailing Address - Fax:845-371-2958
Practice Address - Street 1:938 SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607-1446
Practice Address - Country:US
Practice Address - Phone:201-368-1034
Practice Address - Fax:845-371-2958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-09
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100361200103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty