Doctor Name: | CARLOS GOLSTON |
NPI Number: | 1033293386 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCC, SLP |
License Number: | 3264 |
Business Practice Address: | 4222 Fairfield Cir Evans, GA - 308093628 |
Business Phone Number: | 7068314572 |
Business Fax Number: | |
Mailing Address: | 4222 Fairfield Cir, EVANS |
State: | GA |
Postal Code: | 308093628 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3264 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
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 |