Doctor Name: | MRS. LINDA JANE GOLDEN |
NPI Number: | 1013103365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 43 Duncan St Warsaw, NY - 145691017 |
Business Phone Number: | 5857868788 |
Business Fax Number: | 5857868780 |
Mailing Address: | 43 Duncan St, WARSAW |
State: | NY |
Postal Code: | 145691017 |
Phone Number: | 5857868788 |
Fax Number: | 5857868780 |
NPI Enumeration Date: | 09/20/2007 |
NPI Last Update Date: | 09/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |