MEDICARE: DR. HOPE E GOLDBERG PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	18491	CA
2	103G00000X	Clinical Neuropsychologist	18491	CA
3	103TC0700X	Clinical Psychologist	18491	CA
4	103TF0200X	Forensic Psychologist	18491	CA

General Provider Information

NPI Number	:	1487740569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOPE E GOLDBERG PHD

Provider Business Mailing Address
First Line	:	595 E COLORADO BLVD
Second Line	:	STE 304
City	:	PASADENA
State	:	CA
Zip	:	91101
Country	:	US
Telephone Number	:	626-676-5929
Fax Number	:	626-795-0763

Provider Business Practice Location Address
First Line	:	595 E COLORADO BLVD
Second Line	:	STE 304
City	:	PASADENA
State	:	CA
Zip	:	91101-2039
Country	:	US
Telephone Number	:	626-676-5929
Fax Number	:	626-795-0763

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	09/11/2025

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