| 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 |
|---|---|
| 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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