Doctor Name: | JANEL MARIE GOLDEN |
NPI Number: | 1023313806 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 242.001710 |
Business Practice Address: | 2901 Finley Rd Suite 102 Downers Grove, IL - 605151041 |
Business Phone Number: | 6304956800 |
Business Fax Number: | 6304958200 |
Mailing Address: | 515 W Belmont Ave, Unit 3 CHICAGO |
State: | IL |
Postal Code: | 606574610 |
Phone Number: | 3145609753 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2011 |
NPI Last Update Date: | 05/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 242.001710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |