Provider Demographics
NPI:1851927222
Name:GOLDYNIA, KRISTINE MARGUERITE (SLP-D)
Entity Type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:MARGUERITE
Last Name:GOLDYNIA
Suffix:
Gender:F
Credentials:SLP-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-0031
Mailing Address - Country:US
Mailing Address - Phone:215-651-6780
Mailing Address - Fax:267-223-7061
Practice Address - Street 1:2471 WOODLAND RD
Practice Address - Street 2:245
Practice Address - City:BRYN ATHYN
Practice Address - State:PA
Practice Address - Zip Code:19009
Practice Address - Country:US
Practice Address - Phone:734-223-7107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-18
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013358235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist