Provider Demographics
NPI:1528181062
Name:GOLDSMITH, BARBARA L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:L
Last Name:GOLDSMITH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 WILTSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3636
Mailing Address - Country:US
Mailing Address - Phone:215-977-8811
Mailing Address - Fax:
Practice Address - Street 1:13 WILTSHIRE RD
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3636
Practice Address - Country:US
Practice Address - Phone:215-977-8811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003425L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAGO88458Medicare ID - Type Unspecified