Provider Demographics
NPI:1346570900
Name:GOLDSCHMIDT, EILEEN FAYE (MA, CC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:FAYE
Last Name:GOLDSCHMIDT
Suffix:
Gender:F
Credentials:MA, CC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8224 LOCHINVER LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2744
Mailing Address - Country:US
Mailing Address - Phone:301-299-8277
Mailing Address - Fax:301-299-1639
Practice Address - Street 1:8224 LOCHINVER LN
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-2744
Practice Address - Country:US
Practice Address - Phone:301-299-8277
Practice Address - Fax:301-299-1639
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD660755235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist