| Doctor Name: | MRS. ELISA GOLDSTEIN |
| NPI Number: | 1174806848 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC/SLP |
| License Number: | 03170 |
| Business Practice Address: | 11016 Grassy Knoll Ter Germantown, MD - 208766355 |
| Business Phone Number: | 3014128484 |
| Business Fax Number: | |
| Mailing Address: | Po Box 157, ASHTON |
| State: | MD |
| Postal Code: | 208610157 |
| Phone Number: | 3015709700 |
| Fax Number: | 3012602838 |
| NPI Enumeration Date: | 09/20/2011 |
| NPI Last Update Date: | 09/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 03170 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| 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 |