Organization
STACY GOLDEN
Active
Organization
STACY GOLDEN
Active
Other names
Boundless Expression Therapy & Diag
Organization subpart
No
Provider details
NPI number
Authorized official
STACY GOLDEN MS, CCC-SLP (OWNER/PROVIDER)
(805) 216-5604
Entity
Organization
Contact information
Practice address
1550 N VERDUGO RD APT 37, GLENDALE, CA 91208-2834
(805) 216-5604
Mailing address
1550 N VERDUGO RD APT 37, GLENDALE, CA 91208-2834
(805) 216-5604
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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