Provider Demographics
NPI:1356647804
Name:NAVA GOLDENHOLZ PH.D. P.A.
Entity Type:Organization
Organization Name:NAVA GOLDENHOLZ PH.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAVA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDENHOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:964-742-0797
Mailing Address - Street 1:3132 N. PINE ISLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7333
Mailing Address - Country:US
Mailing Address - Phone:954-742-0797
Mailing Address - Fax:954-742-3093
Practice Address - Street 1:3132 N. PINE ISLAND ROAD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7333
Practice Address - Country:US
Practice Address - Phone:954-742-0797
Practice Address - Fax:954-742-3093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3324103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty