Individual
DR. CAROLYN SUZANNE GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
2076 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 955-7333
(208) 955-7330
Mailing address
2076 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 955-7339
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-202329
ID
103TF0000X
Family Psychologist
PSY-202329
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010159469
REGENCE BLUE SHIELD
ID
05
—
002269500
—
ID
01
—
N6295
BLUE CROSS OF IDAHO
ID
Enumeration date
03/15/2007
Last updated
04/09/2012
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