Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 2005003278 | MO |
Y | 103T00000X | Psychologist | 2005003278 | MO |
NPI | 1003019076 |
---|---|
Provider Name | Dr. Julie Goldstein |
First Address | Overland Park, KS 66212-3496 |
Second Address | Kansas City, MO 64113-2116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 08/07/2007 |