Individual
FRED GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. CCC-SLP
Contact information
Practice address
1415 LINCOLNWAY W, SUITE M, OSCEOLA, IN 46561-2062
(574) 675-7767
Mailing address
657 OSTEMO PL, SOUTH BEND, IN 46617-1025
(574) 292-5513
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001315A
IN
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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