Provider Demographics
NPI:1437205275
Name:HOWARD, VIRGINIA GOLDEN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:GOLDEN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MRS
Other - First Name:VIRGINIA
Other - Middle Name:GOLDEN
Other - Last Name:CASTLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:1208 PONDEROSA PNE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-4366
Mailing Address - Country:US
Mailing Address - Phone:405-715-0353
Mailing Address - Fax:405-715-0353
Practice Address - Street 1:1200 EVERETT DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5047
Practice Address - Country:US
Practice Address - Phone:405-271-4875
Practice Address - Fax:405-271-1891
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2391235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist