Provider Demographics
NPI:1376074344
Name:GOLDEN, MARIA ELENA (MS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ELENA
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ELENA
Other - Last Name:HOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 WHITESTONE DR
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-1329
Mailing Address - Country:US
Mailing Address - Phone:610-322-4461
Mailing Address - Fax:
Practice Address - Street 1:GEISINGER MEDICAL CTR
Practice Address - Street 2:100 N. ACADEMY AVE.
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822
Practice Address - Country:US
Practice Address - Phone:610-322-4461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-22
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool