Individual
JODI GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 N CREST PL, LAKEWOOD, NJ 08701-2967
(215) 530-9113
Mailing address
8315 DORCAS ST, PHILA, PA 19152-2259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007220
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019643600002
—
PA
Enumeration date
04/09/2008
Last updated
04/09/2008
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