Provider Demographics
NPI:1184783995
Name:GOLDMAN-HALL, DEBRA LORRAINE (LCSW)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:LORRAINE
Last Name:GOLDMAN-HALL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 E CALAVERAS BLVD
Mailing Address - Street 2:KAISER PERMANENTE WOMEN'S HEALTH
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5491
Mailing Address - Country:US
Mailing Address - Phone:408-945-2098
Mailing Address - Fax:408-945-5013
Practice Address - Street 1:770 E CALAVERAS BLVD
Practice Address - Street 2:KAISER PERMANENTE WOMEN'S HEALTH
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5491
Practice Address - Country:US
Practice Address - Phone:408-945-2098
Practice Address - Fax:408-945-5013
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 133201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical