Provider Demographics
NPI:1215121561
Name:GOH, PAULINE P
Entity type:Individual
Prefix:MS
First Name:PAULINE
Middle Name:P
Last Name:GOH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233A VICKSBURG ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-3316
Mailing Address - Country:US
Mailing Address - Phone:415-335-5241
Mailing Address - Fax:
Practice Address - Street 1:507 POLK ST STE 450
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3397
Practice Address - Country:US
Practice Address - Phone:415-561-0230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health