Provider Demographics
NPI:1881778017
Name:GOLD, STEVEN NEAL (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:NEAL
Last Name:GOLD
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 1:7501 NW 4TH ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2245
Mailing Address - Country:US
Mailing Address - Phone:954-587-0977
Mailing Address - Fax:954-587-0982
Practice Address - Street 1:7501 NW 4TH ST
Practice Address - Street 2:SUITE 215
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2245
Practice Address - Country:US
Practice Address - Phone:954-587-0977
Practice Address - Fax:954-587-0982
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003230103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical