Provider Demographics
NPI:1386525921
Name:GOLDBERGER, MOR
Entity type:Individual
Prefix:
First Name:MOR
Middle Name:
Last Name:GOLDBERGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 NEWBURY ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-2514
Mailing Address - Country:US
Mailing Address - Phone:510-517-1652
Mailing Address - Fax:
Practice Address - Street 1:2911 NEWBURY ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-2514
Practice Address - Country:US
Practice Address - Phone:510-517-1652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist