Provider Demographics
NPI:1922634898
Name:GOLDEN, MADELINE EILEEN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:EILEEN
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 GOLFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-2618
Mailing Address - Country:US
Mailing Address - Phone:781-526-0350
Mailing Address - Fax:
Practice Address - Street 1:6 GOLFVIEW DR
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-2618
Practice Address - Country:US
Practice Address - Phone:781-526-0350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA77020235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist