Organization
KEITH GOLIN PHD LLC
Active
Other names
Keith Golin PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH GOLIN PHD (CLINICAL PSYCHOLOGIST)
(973) 992-4639
Entity
Organization
Contact information
Practice address
659 EAGLE ROCK AVE STE 4, WEST ORANGE, NJ 07052-2138
(888) 284-2034
(973) 992-4639
Mailing address
18 ASPEN DR, LIVINGSTON, NJ 07039-1432
(888) 284-2034
(973) 992-4639
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100409900
NJ
103TC0700X
Clinical Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114065
—
NJ
05
—
02330954
—
NY
01
—
6102096
EVERCARE
NJ
Enumeration date
08/01/2006
Last updated
05/24/2021
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