| Doctor Name: | ELISE GOLD |
| NPI Number: | 1972992303 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LL 60502439 |
| Business Practice Address: | 11104 Ne 149th St Brush Prairie, WA - 986069565 |
| Business Phone Number: | 3608855318 |
| Business Fax Number: | |
| Mailing Address: | Po Box 200, BATTLE GROUND |
| State: | WA |
| Postal Code: | 986040200 |
| Phone Number: | 3608855300 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2015 |
| NPI Last Update Date: | 01/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL 60502439 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |