Doctor Name: | CHERYL A GOLUB |
NPI Number: | 1598103707 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05545500 |
Business Practice Address: | 210 Summit Ave Suite A9 Montvale, NJ - 076451579 |
Business Phone Number: | 9147723123 |
Business Fax Number: | 8458183705 |
Mailing Address: | 3 Olde Woods Ln, MONTVALE |
State: | NJ |
Postal Code: | 076451743 |
Phone Number: | 9147723123 |
Fax Number: | 8458183705 |
NPI Enumeration Date: | 06/10/2013 |
NPI Last Update Date: | 06/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05545500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |