Provider Demographics
NPI:1336853985
Name:GOLDEN, SYDNEY (MS CCC-SLP, CBIS)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:MS CCC-SLP, CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 W SMITH ST APT 4C
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2282
Mailing Address - Country:US
Mailing Address - Phone:859-519-8444
Mailing Address - Fax:
Practice Address - Street 1:333 S WRENN ST FL 1
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-6640
Practice Address - Country:US
Practice Address - Phone:859-519-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty