Individual
MS. JANELLE MARIE GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
294 W. CARLOS, SPECIAL SERVICES CONSORTIUM, HOLBROOK, AZ 86025
(928) 524-2123
Mailing address
PO BOX 2943, 3747 EAST BERMUDA CIRCLE, PINETOP, AZ 85935-2943
(928) 369-3466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
585953
—
AZ
01
—
SLP0003
STATE LICENSE NUMBER
AZ
Enumeration date
09/20/2006
Last updated
07/09/2007
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