Doctor Name: | KENDRA GOLDEN |
NPI Number: | 1316322795 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, CCC-SLP |
License Number: | SLP008951 |
Business Practice Address: | 4535 Flat Shoals Pkwy Suite 301 Decatur, GA - 300345039 |
Business Phone Number: | 4042449477 |
Business Fax Number: | 8552043767 |
Mailing Address: | 4315 Palisades Place Dr, LITHONIA |
State: | GA |
Postal Code: | 300386146 |
Phone Number: | 4042456457 |
Fax Number: | 8552043767 |
NPI Enumeration Date: | 07/27/2015 |
NPI Last Update Date: | 07/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP008951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |