Provider Demographics
NPI:1336497254
Name:GODKIN, ALINA (MS, CF-SLP, TSSLD)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:GODKIN
Suffix:
Gender:F
Credentials:MS, CF-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 MACKENZIE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2304
Mailing Address - Country:US
Mailing Address - Phone:347-749-5951
Mailing Address - Fax:
Practice Address - Street 1:136 MACKENZIE STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2304
Practice Address - Country:US
Practice Address - Phone:347-749-5951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist