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Contact Information

MYRON L GOLDBERG
UNIVERSITY OF WASHINGTON MEDICAL CTR
1959 NE PACIFIC ST
SEATTLE, WA98195-6157
 Phone: 206-598-4295
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MYRON L GOLDBERG · (Male)

NPI Number 1639254469
Status Active
Credentials
Entity Individual
Enumeration date 10/27/2006
Last updated 10/10/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PY00001795
  • WA Medicaid 8352270
  • Other 3516 INTERNAL ID-MOTOR VEHICLE ID
  • WA Other P00088051 RAIL ROAD MEDICARE
Hospital affiliation(s)
  • UNIVERSITY OF WASHINGTON MEDICAL CTR - (Acute Care)
    1959 NE PACIFIC ST BOX 356151
    SEATTLE, WA 98195
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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