Doctor Name: | MS. JANELLE MARIE GOLDEN |
NPI Number: | 1538266895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | SLP003 |
Business Practice Address: | 294 W. Carlos Special Services Consortium Holbrook, AZ - 86025 |
Business Phone Number: | 9285242123 |
Business Fax Number: | |
Mailing Address: | Po Box 2943, 3747 East Bermuda Circle PINETOP |
State: | AZ |
Postal Code: | 859352943 |
Phone Number: | 9283693466 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |