Provider Demographics
NPI:1689063638
Name:GOLDSTEIN, HILLEL (PSYD, LPC)
Entity Type:Individual
Prefix:DR
First Name:HILLEL
Middle Name:
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:PSYD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7850 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63143-2710
Mailing Address - Country:US
Mailing Address - Phone:314-645-7230
Mailing Address - Fax:844-527-4893
Practice Address - Street 1:7850 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63143-2710
Practice Address - Country:US
Practice Address - Phone:314-645-7230
Practice Address - Fax:844-527-4893
Is Sole Proprietor?:No
Enumeration Date:2015-01-14
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007029527101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional