Provider Demographics
NPI:1932331253
Name:GOLDEN, DORIS ANDREA (SLP)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:ANDREA
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 N GEORGE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17406-3022
Mailing Address - Country:US
Mailing Address - Phone:717-840-2617
Mailing Address - Fax:717-843-7214
Practice Address - Street 1:2801 N GEORGE ST
Practice Address - Street 2:SUITE A
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17406-3022
Practice Address - Country:US
Practice Address - Phone:717-840-2617
Practice Address - Fax:717-843-7214
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL003197L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist