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Individual

KEITH GOLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

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
35SI0040990
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487660213
PRIMARY INSURANCE CO
NJ
Enumeration date
06/22/2006
Last updated
05/24/2021
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