Doctor Name: | JESSICA GOLDFINCH |
NPI Number: | 1528409190 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5284 |
Business Practice Address: | 101 Brightwater Dr Myrtle Beach, SC - 295798275 |
Business Phone Number: | 8439038300 |
Business Fax Number: | |
Mailing Address: | 1015 Elm St, #8 CONWAY |
State: | SC |
Postal Code: | 295263445 |
Phone Number: | 8433303100 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2013 |
NPI Last Update Date: | 07/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5284 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |