Provider Demographics
NPI:1427025634
Name:GOLDSTONE, LINDA S (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:S
Last Name:GOLDSTONE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:S
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9353
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58106-9353
Mailing Address - Country:US
Mailing Address - Phone:702-340-7355
Mailing Address - Fax:
Practice Address - Street 1:1724 39TH ST S
Practice Address - Street 2:102
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-7408
Practice Address - Country:US
Practice Address - Phone:702-340-7355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND934235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist