Individual
GINA CARROLL GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
908 N REYNOLDS RD, BRYANT, AR 72022-3034
(501) 847-9711
(501) 847-6929
Mailing address
P.O. DRAWER 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2025
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148257721
—
AR
Enumeration date
01/29/2007
Last updated
02/01/2023
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