Doctor Name: | MRS. MARILYN KAREN GOLDSTEIN |
NPI Number: | 1649402744 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SL002761L |
Business Practice Address: | 104 Woodside Rd Apt. B101 Haverford, PA - 190411861 |
Business Phone Number: | 6106457733 |
Business Fax Number: | |
Mailing Address: | 104 Woodside Rd, Apt. B101 HAVERFORD |
State: | PA |
Postal Code: | 190411861 |
Phone Number: | 6106457733 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2009 |
NPI Last Update Date: | 08/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL002761L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |