Provider Demographics
NPI:1376782888
Name:GOLDMAN, SARAH BETH (PHD, OTR/L, CHT)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:BETH
Last Name:GOLDMAN
Suffix:
Gender:F
Credentials:PHD, OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 KANSAS ST BLDG 42
Mailing Address - Street 2:US ARMY RESEARCH INSTITUTE OF ENVIRONMENTAL MEDICINE
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-2642
Mailing Address - Country:US
Mailing Address - Phone:508-233-5454
Mailing Address - Fax:
Practice Address - Street 1:42 KANSAS ST BLDG 42
Practice Address - Street 2:US ARMY RESEARCH INSTITUTE OF ENVIRONMENTAL MEDICINE
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-2642
Practice Address - Country:US
Practice Address - Phone:508-233-5454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-08
Last Update Date:2009-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT8635171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider