Individual
DR. FREDERIC GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
400 S MAIN, WOOD RIVER, IL 62095
(618) 251-2175
(618) 251-6294
Mailing address
BOX 349, 400 S MAIN, WOOD RIVER, IL 62095
(618) 251-2175
(618) 251-6294
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
00101
MO
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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