Healthcare Provider Details

I. General information

NPI: 1629743448
Provider Name (Legal Business Name): ROBIN LINDA BELSKY GOLD MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2021
Last Update Date: 08/13/2021
Certification Date: 08/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 BEAUBIEN ST
DETROIT MI
48201-2196
US

IV. Provider business mailing address

26320 YORK RD
HUNTINGTON WOODS MI
48070-1313
US

V. Phone/Fax

Practice location:
  • Phone: 313-832-9330
  • Fax:
Mailing address:
  • Phone: 248-990-2363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: