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Contact Information

MATTHEW E GOLDENBERG, PSY D
111 TUMWATER BLVD SE
SUITE 210
TUMWATER, WA98501
 Phone: 206-395-9193
 Fax: 360-464-2720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MATTHEW E GOLDENBERG · (Male)

NPI # 1417106675
Status Active
Credentials PSY D
Entity Individual
Enumeration date 09/12/2008
Last updated 08/19/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # LH6039598
  • WA License # PY60416098
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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