Provider Demographics
NPI:1629145404
Name:GOLDBERG, MARGARET BRADLEY (MED)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:BRADLEY
Last Name:GOLDBERG
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 426 RT 140
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019
Mailing Address - Country:US
Mailing Address - Phone:508-883-6513
Mailing Address - Fax:
Practice Address - Street 1:30 TAUNTON GREEN SUITE 7
Practice Address - Street 2:VOLUNTEERS OF AMERICA
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780
Practice Address - Country:US
Practice Address - Phone:508-822-4027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health