Provider Demographics
NPI:1013418094
Name:GOLDSMITH, GABRIELLE CHRISTINE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:CHRISTINE
Last Name:GOLDSMITH
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:CHRISTINE
Other - Last Name:TITUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:964 E CHERRY HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-6915
Mailing Address - Country:US
Mailing Address - Phone:509-217-3367
Mailing Address - Fax:
Practice Address - Street 1:964 E CHERRY HILLS DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-6915
Practice Address - Country:US
Practice Address - Phone:509-217-3367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-23
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty