Provider Demographics
NPI:1295973121
Name:GOLDMAN, BINYAMIN L (PSYD, CSP)
Entity type:Individual
Prefix:DR
First Name:BINYAMIN
Middle Name:L
Last Name:GOLDMAN
Suffix:
Gender:M
Credentials:PSYD, CSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1217
Mailing Address - Country:US
Mailing Address - Phone:973-563-7354
Mailing Address - Fax:
Practice Address - Street 1:405 CEDAR LN
Practice Address - Street 2:SUITE 1
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-1739
Practice Address - Country:US
Practice Address - Phone:973-563-7354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-30
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool