Clark R. Goldstein, PH.D.

NPI #1215121710 in Lake Success, New York

Provider Information

NPI Number: 1215121710
Entity Type: Individual
Name: Clark R. Goldstein, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Aug 29, 2007
Last Updated: Apr 7, 2016

Practice Location

Address: 1981 MARCUS AVENUE
Address 2: SUITE C-102 NYU CHILD STUDY CENTER
City: Lake Success
State: New York
ZIP Code: 11042
Phone: (516) 358-1808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Psychologist	103T00000X	Primary

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