Organization
AACTIVATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELYSE GOLDSHEIN CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(203) 417-7314
Entity
Organization
Contact information
Practice address
401 NORTHLAKE BLVD STE 4, NORTH PALM BEACH, FL 33408-5428
(561) 440-3639
Mailing address
401 NORTHLAKE BLVD STE 4, NORTH PALM BEACH, FL 33408-5428
(561) 440-3639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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