Keith Golin Phd Fl Llc | |
7901 4th St N Ste 300 St Petersburg FL 33702-4399 | |
(888) 284-2034 | |
Not Available |
Full Name | Keith Golin Phd Fl Llc |
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Speciality | Psychologist |
Location | 7901 4th St N Ste 300, St Petersburg, Florida |
Authorized Official Name and Position | Keith Golin (OWNER) |
Authorized Official Contact | 8882842034 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Keith Golin Phd Fl Llc 659 Eagle Rock Ave Ste 4 West Orange NJ 07052-2138 Ph: () - | Keith Golin Phd Fl Llc 7901 4th St N Ste 300 St Petersburg FL 33702-4399 Ph: (888) 284-2034 |
NPI Number | 1043057649 |
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Provider Enumeration Date | 07/10/2024 |
Last Update Date | 07/10/2024 |
Certification Date | 07/10/2024 |
Medicare PECOS PAC ID | 2668910977 |
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Medicare Enrollment ID | O20240819000915 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043057649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Krystal Lynn Moir |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386323947 PECOS PAC ID: 8022471051 Enrollment ID: I20240819000964 |
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