Individual
AMANDA ILYSE GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
770 LAKE COOK RD STE 220, DEERFIELD, IL 60015-4920
(201) 546-2002
Mailing address
1730 N CLARK ST APT 1909, CHICAGO, IL 60614-4862
(201) 546-2002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.018508
IL
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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