Golden, Carolyn Suzanne

Golden, Carolyn Suzanne is an individual health care provider with primary practice located at 2076 S Eagle Rd , Meridian ID 83642-6707. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Golden, Carolyn Suzanne can be contacted via phone (208) 955-7333.

Contact Information

Primary practice address
2076 S Eagle Rd Meridian ID 83642-6707
Phone: (208) 955-7333
Fax: (208) 955-7330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-202329 Idaho
Behavioral Health & Social Service Providers / Family 103TF0000X PSY-202329 Idaho

Profile Details

NPI number 1740314228
LBN Legal business name Golden, Carolyn Suzanne
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Apr 9th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740314228 NPPES
Idaho MEDICAID 002269500
Idaho Other 000010159469
Idaho Other N6295

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