Dr Frederic Golden, PHD is a
Psychologist - Clinical based in Wood River, Illinois. Dr Frederic Golden is licensed to practice in Illinois (license number ) and his current practice location is
400 S Main, Wood River, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 251-2175.
NPI number for Dr Frederic Golden is 1770613218 and his current mailing address is Box 349, 400 S Main, Wood River, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770613218.
Healthcare Provider's Profile
Full Name | Dr Frederic Golden |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 400 S Main, Wood River, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770613218
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Frederic Golden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770613218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 00101 (Missouri) | Secondary |
103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Frederic Golden is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Frederic Golden, PHD Box 349, 400 S Main, Wood River, IL 62095 Ph: (618) 251-2175 | Dr Frederic Golden, PHD 400 S Main, Wood River, IL 62095 Ph: (618) 251-2175 |
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