Golden, Clifford Stephan

Golden, Clifford Stephan is an individual health care provider with primary practice located at 1601 N Palm Ave Ste 211 , Pembroke Pines FL 33026-3204. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Golden, Clifford Stephan can be contacted via phone (888) 852-6672.

Contact Information

Primary practice address
1601 N Palm Ave Ste 211 Pembroke Pines FL 33026-3204
Fax: (305) 891-4228
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY4079 Florida

Profile Details

NPI number 1184799546
LBN Legal business name Golden, Clifford Stephan
Credentials EDD LICENSED PSYCHOL
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Aug 19th, 2014 - about 10 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 1184799546 NPPES
Florida MEDICAID 768614500

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