Golden, Justine Cancilla

Golden, Justine Cancilla is an sole proprietor health care provider with primary practice located at 105 Hillside Ave Ste G, Williston Park NY 11596-2311. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Golden, Justine Cancilla can be contacted via phone (516) 625-0361.

Contact Information

Primary practice address
105 Hillside Ave Ste G Williston Park NY 11596-2311
Phone: (516) 625-0361
Fax: (516) 625-0361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 015842-1 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / School 103TS0200X 1809419 New York

Profile Details

NPI number 1245351311
LBN Legal business name Golden, Justine Cancilla
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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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