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Jason A. Gold, Ph.d - LCSW

Social Worker in Skillman, NJ. Individual provider (NPI-1).

NPI number1104922012
StatusActive
Last updated in NPPESAug 7, 2007

Details

NPI
1104922012
Entity type
Individual (NPI-1)
Name
Mr. Jason A. Gold
Credential
Ph.d - LCSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 16, 2006
Last updated
Aug 7, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker44SC04880900NJYes
103T00000X Psychologist085639NJ

Practice location

43 Tamarack Cir
Skillman, NJ 08558-2019

Phone 609-356-0034 · Fax 609-356-0034

Mailing address

28 Academy St
Princeton, NJ 08540-9589

Phone 609-356-0034 · Fax 609-356-0034

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