Provider Demographics
NPI:1245363027
Name:GOLDSCHMIDT, HARLENE LISA (PHD)
Entity type:Individual
Prefix:DR
First Name:HARLENE
Middle Name:LISA
Last Name:GOLDSCHMIDT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 HUNTERS TRL
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-7117
Mailing Address - Country:US
Mailing Address - Phone:732-537-1345
Mailing Address - Fax:732-537-1343
Practice Address - Street 1:2 WEST NORTHFIELD ROAD
Practice Address - Street 2:SUITE 210-A
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-533-9600
Practice Address - Fax:732-537-1343
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3019103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical