Provider Demographics
NPI:1326629031
Name:GODBOLT, JOSIAH DAVID (MA CF-SLP)
Entity Type:Individual
Prefix:MR
First Name:JOSIAH
Middle Name:DAVID
Last Name:GODBOLT
Suffix:
Gender:M
Credentials:MA CF-SLP
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Mailing Address - Street 1:418 FOLLY ROAD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412
Mailing Address - Country:US
Mailing Address - Phone:843-766-3888
Mailing Address - Fax:843-766-3478
Practice Address - Street 1:418 FOLLY ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412
Practice Address - Country:US
Practice Address - Phone:843-766-3888
Practice Address - Fax:843-766-3478
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist