Individual
STACY ROSE GOLDFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPA
Contact information
Practice address
1120 VIA CALLEJON STE B, SAN CLEMENTE, CA 92673-6264
(949) 498-5100
Mailing address
1120 VIA CALLEJON STE B, SAN CLEMENTE, CA 92673-6264
(949) 498-5100
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA 841
CA
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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