Individual
DR. DEBRA RENA GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
48 BURD STREET, SUITE 205B, NYACK, NY 10960
(845) 353-5569
Mailing address
48 BURD STREET, SUITE 205B, NYACK, NY 10960
(845) 353-5569
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0093421
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144783
VALUE OPTIONS
NY
01
—
6802386
GHI
NY
Enumeration date
02/23/2007
Last updated
07/08/2007
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