Provider Demographics
NPI:1962000331
Name:GOLDVARG, ISABEL KATE
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:KATE
Last Name:GOLDVARG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25718 MUIRFIELD BEND CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-4286
Mailing Address - Country:US
Mailing Address - Phone:832-474-2382
Mailing Address - Fax:
Practice Address - Street 1:82 N PINTO POINT CIR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-4396
Practice Address - Country:US
Practice Address - Phone:509-999-4481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX416542355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant