Provider Demographics
NPI:1568622348
Name:GOLDEN, NATALIE JEAN (RRT)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:JEAN
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29055 POINTE O WOODS PL
Mailing Address - Street 2:APT. 107
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1245
Mailing Address - Country:US
Mailing Address - Phone:248-327-6281
Mailing Address - Fax:
Practice Address - Street 1:29055 POINTE O WOODS PL
Practice Address - Street 2:APT. 107
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1245
Practice Address - Country:US
Practice Address - Phone:248-327-6281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-14
Last Update Date:2008-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00752227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered