Organization
KIDS EXPRESS SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWENDOLYN GOLDSTEIN MA, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(703) 963-1566
Entity
Organization
Contact information
Practice address
12277 ENGELMANN OAK LN, FAIRFAX, VA 22030-9069
(703) 963-1566
Mailing address
12277 ENGELMANN OAK LN, FAIRFAX, VA 22030-9069
(703) 963-1566
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202007645
SLP
VA
Enumeration date
10/29/2024
Last updated
03/24/2026
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