Keith Golin Phd Llc | |
18 Aspen Dr Livingston NJ 07039 | |
(516) 330-0314 | |
(302) 422-8697 |
Full Name | Keith Golin Phd Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 18 Aspen Dr, Livingston, New Jersey |
Authorized Official Name and Position | Keith Golin (OWNER) |
Authorized Official Contact | 8882842034 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Keith Golin Phd Llc 18 Aspen Dr Livingston NJ 07039-1432 Ph: (516) 330-0314 | Keith Golin Phd Llc 18 Aspen Dr Livingston NJ 07039 Ph: (516) 330-0314 |
NPI Number | 1548561053 |
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Provider Enumeration Date | 11/15/2010 |
Last Update Date | 05/24/2021 |
Certification Date | 05/24/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548561053 | NPI | - | NPPES |
1487660213 | Other | NJ | SECONDARY INSURANCE COMPANIES |
0221830 | Medicaid | NJ | |
DH0611 | Other | NJ | RAILROAD MCB |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 35S100409900 (New Jersey) | Primary |
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