Individual
MRS. ELISA GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
11016 GRASSY KNOLL TER, GERMANTOWN, MD 20876-6355
(301) 412-8484
Mailing address
PO BOX 157, ASHTON, MD 20861-0157
(301) 570-9700
(301) 260-2838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03170
MD
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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