Provider Demographics
NPI:1831325737
Name:GOLDSTEIN, JULIE BETH (MSCCCSLPTSHHL)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:BETH
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:MSCCCSLPTSHHL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1418
Mailing Address - Country:US
Mailing Address - Phone:845-362-2225
Mailing Address - Fax:845-362-7712
Practice Address - Street 1:165 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1418
Practice Address - Country:US
Practice Address - Phone:845-362-2225
Practice Address - Fax:845-362-7712
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-05
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008561-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist