Provider Demographics
NPI:1659937415
Name:GOLDEN, ANTHONY KEITH II
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:KEITH
Last Name:GOLDEN
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W BENSON BLVD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3829
Mailing Address - Country:US
Mailing Address - Phone:907-729-6893
Mailing Address - Fax:
Practice Address - Street 1:400 W BENSON BLVD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3829
Practice Address - Country:US
Practice Address - Phone:907-729-6893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health