Provider Demographics
NPI:1114145729
Name:GOLKOW, RONALD BARRY (PHD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:BARRY
Last Name:GOLKOW
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 RITCHIE HWY
Mailing Address - Street 2:SUITE 2010
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-4197
Mailing Address - Country:US
Mailing Address - Phone:410-544-8373
Mailing Address - Fax:
Practice Address - Street 1:819 RITCHIE HWY
Practice Address - Street 2:SUITE 2010
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-4197
Practice Address - Country:US
Practice Address - Phone:410-544-8373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2232103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist