MEDICARE: DEBBIE GOLDMAN SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA3678	FL

General Provider Information

NPI Number	:	1588804090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBBIE GOLDMAN SLP

Provider Business Mailing Address
First Line	:	2259 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1106
Country	:	US
Telephone Number	:	954-725-4160
Fax Number	:

Provider Business Practice Location Address
First Line	:	2259 W HILLSBORO BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1106
Country	:	US
Telephone Number	:	954-725-4160
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2009
Last Update Date	:	02/23/2009

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Directions to “ DEBBIE GOLDMAN SLP” Practice Location

Language	Start Address	Practice Location

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