Organization
KEITH GOLIN PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH GOLIN PHD (OWNER)
(888) 284-2034
Entity
Organization
Contact information
Practice address
18 ASPEN DR, LIVINGSTON, NJ 07039
(516) 330-0314
(302) 422-8697
Mailing address
18 ASPEN DR, LIVINGSTON, NJ 07039-1432
(516) 330-0314
(302) 422-8697
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100409900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221830
—
NJ
01
—
1487660213
SECONDARY INSURANCE COMPANIES
NJ
01
—
DH0611
RAILROAD MCB
NJ
Enumeration date
11/15/2010
Last updated
05/24/2021
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