Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | MD2123 | MD |
N | 103T00000X | Psychologist | MD2123 | MD |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 4106 | MD |
Y | 103G00000X | Clinical Psychologist | 02123 | MD |
Y | 103TC0700X | Clinical Psychologist | 02123 | MD |
N | 103G00000X | Clinical Psychologist | 0810002291 | VA |
N | 103TC0700X | Clinical Psychologist | 0810002291 | VA |
NPI | 1255301495 |
---|---|
Provider Name | Dr. Rosalind Goldfarb |
First Address | Chevy Chase, MD 20815-3906 |
Second Address | Chevy Chase, MD 20815-3906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 21/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
116981500 | (05) | MD |
283821 | MEDICARE PTAN (01) | MD |