Provider Demographics
NPI:1861819575
Name:GOULART, CLAUDIA (MS)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:GOULART
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 HALF MOON CIR APT D3
Mailing Address - Street 2:
Mailing Address - City:HYPOLUXO
Mailing Address - State:FL
Mailing Address - Zip Code:33462-5443
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:102 HALF MOON CIR APT D3
Practice Address - Street 2:
Practice Address - City:HYPOLUXO
Practice Address - State:FL
Practice Address - Zip Code:33462-5443
Practice Address - Country:US
Practice Address - Phone:973-454-0366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-20
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist