Individual
WILL GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
11825 WOODBINE ST NW, COON RAPIDS, MN 55433-2671
(612) 499-0294
Mailing address
11825 WOODBINE ST NW, COON RAPIDS, MN 55433-2671
(612) 499-0294
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6422
MN
Other
Enumeration date
10/03/2013
Last updated
06/30/2025
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