Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 3318 | TN |
N | 103T00000X | Psychologist | 3318 | TN |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 3318 | TN |
N | 103TC1900X | Counseling Psychologist | 3318 | TN |
Y | 103TH0100X | Health Service | 3318 | TN |
N | 103TP2701X | Group Psychotherapist | 3318 | TN |
NPI | 1164888509 |
---|---|
Provider Name | Dr. Daniel Goldstein |
First Address | Nashville, TN 37205-3525 |
Second Address | Nashville, TN 37203-2412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2016 |
Last Update Date | 14/01/2016 |