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MR. WALTER EUGENE GOLDWATER MD

Psychoanalysis

Hadlen, Massachusetts

Provider NPI: 1720133655

Provider Information:
MR. WALTER EUGENE GOLDWATER MD
Gender: M
Not Sole Proprietor

Practice Location:
108 RUSSEL ST  HADLEN, MA 01035 US
Tel: 413-549-7990  Fax: --

Business Mailing Address:
9 FOREST EDGE ROAD  AMHERST, MA 01002 US
Tel: 413-549-7990  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103TP0814XBehavioral Health & Social Service Providers
Psychologist
Psychoanalysis
MA43014
X2084P0800XPhysicians
Psychiatry & Neurology
MA43014

Other Provider Identifiers:

IssuerNumberStateType
0149934MA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







PSYCHOANALYSIS JOBS MA - Page 1



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