Individual
DR. LAURIE J GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-6127
(847) 723-2061
Mailing address
2915 BROOKSIDE AVE, WAUKEGAN, IL 60085-3113
(847) 723-6127
(847) 723-2061
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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