Provider Demographics
NPI:1720735327
Name:GOLPHIN, QUIANA (PHD)
Entity Type:Individual
Prefix:DR
First Name:QUIANA
Middle Name:
Last Name:GOLPHIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 BAUM BLVD STE 484
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1852
Mailing Address - Country:US
Mailing Address - Phone:412-223-7290
Mailing Address - Fax:
Practice Address - Street 1:5001 BAUM BLVD STE 484
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1852
Practice Address - Country:US
Practice Address - Phone:412-223-7290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-04
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013407101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional