Individual
MS. BETH ANN GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4043 E SOLANO DR, PHOENIX, AZ 85018-1144
(480) 544-6477
(602) 840-0788
Mailing address
4043 E SOLANO DR, PHOENIX, AZ 85018-1144
(480) 544-6477
(602) 840-0788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1868
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
703795
AZ AHCCCS #
AZ
01
—
SLP1868
AZ DEPT OF HEALTH SERVICE
AZ
Enumeration date
01/31/2007
Last updated
07/08/2007
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