Individual
REBECCA B. GOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
150 MONUMENT RD, SUITE 207, BALA CYNWYD, PA 19004-1702
(973) 896-0394
Mailing address
2001 HAMILTON ST, APT 301, PHILADELPHIA, PA 19130-4201
(973) 896-0394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
DN005995
PA
Other
Enumeration date
05/13/2010
Last updated
02/23/2017
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