Doctor Name: | REISHA GOLDEN |
NPI Number: | 1073904967 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 23664 |
Business Practice Address: | 555 W Compton Blvd Suite 106 Compton, CA - 902203085 |
Business Phone Number: | 3106371010 |
Business Fax Number: | |
Mailing Address: | 555 W Compton Blvd, Suite 106 COMPTON |
State: | CA |
Postal Code: | 902203085 |
Phone Number: | 3106371010 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2015 |
NPI Last Update Date: | 12/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 23664 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |