Provider Demographics
NPI:1346492493
Name:GOLDIN, MARCI HELLER (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:MARCI
Middle Name:HELLER
Last Name:GOLDIN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 ARBOR CRST
Mailing Address - Street 2:
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-1809
Mailing Address - Country:US
Mailing Address - Phone:914-277-4159
Mailing Address - Fax:914-277-4159
Practice Address - Street 1:165 ARBOR CRST
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-1809
Practice Address - Country:US
Practice Address - Phone:914-277-4159
Practice Address - Fax:914-277-4159
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005925-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist