Provider Demographics
NPI:1033274063
Name:GOLDING, DEENA GAIL (WMFT MT0000482)
Entity Type:Individual
Prefix:MRS
First Name:DEENA
Middle Name:GAIL
Last Name:GOLDING
Suffix:
Gender:F
Credentials:WMFT MT0000482
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 N MILITARY TRAIL
Mailing Address - Street 2:STE 215
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431
Mailing Address - Country:US
Mailing Address - Phone:561-395-3778
Mailing Address - Fax:561-395-5691
Practice Address - Street 1:2600 N MILITARY TRAIL STE 215
Practice Address - Street 2:BOCA PSYCHIATRIC ASSOCIATES
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431
Practice Address - Country:US
Practice Address - Phone:561-395-3778
Practice Address - Fax:561-395-5691
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT0000482101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor