Individual
MIRIAM KLEIN GOLDSTIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
524 SETON CIR, LAKEWOOD, NJ 08701-1525
(732) 942-1235
Mailing address
524 SETON CIR, LAKEWOOD, NJ 08701-1525
(732) 942-1235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00556600
NJ
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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