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DESIREE ROSE GOLDSTEIN
Speech-Language Assistant >> Specialist/Technologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1447740725
Individual Registrant: DESIREE ROSE GOLDSTEIN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
112 IRVIN AVE SW LIVE OAK, FL 32064-2214 US
Tel: 678-523-4884 Fax: --
Tel: 678-523-4884 Fax: --
Contact information for business:
100 GARDEN DR APT K252 VALDOSTA, GA 31602-5991 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1447740725
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2355S0801X | Speech, Language and Hearing Service Providers Specialist/Technologist Speech-Language Assistant | FL |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
