Individual
MRS. DEBRA SUSAN GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCCSLP
Contact information
Practice address
11 CHESTNUT ST STE 7, ANDOVER, MA 01810-3724
(978) 296-4486
(978) 296-4448
Mailing address
32 LINCOLN CIR. E., ANDOVER, MA 01810
(978) 470-1331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3859
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP 0038
BCBS
MA
Enumeration date
01/02/2007
Last updated
01/01/2019
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