Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glenn Marshall Goldberg, PHD

Individual provider Clinical Psychologist · NPI 1093798936

Glenn Marshall Goldberg, PHD is a Clinical Psychologist in St Augustine, Florida. Licensed in Florida and Virginia. Registered with an NPI since 2005.

Licensed in
FL, VA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

9 St Johns Medical Park Dr
St Augustine, FL 32086
Phone: (904) 797-2705
Fax: (904) 797-2820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY 7295 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0810002028 (VA)

Record details

NPI number1093798936
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESJuly 8, 2007

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