Golden, Gina Carroll

Golden, Gina Carroll is an individual health care provider with primary practice located at 908 N Reynolds Rd , Bryant AR 72022-3034. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Golden, Gina Carroll can be contacted via phone (501) 847-9711.

Contact Information

Primary practice address
908 N Reynolds Rd Bryant AR 72022-3034
Fax: (501) 847-6929
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#2025 Arkansas

Profile Details

NPI number 1770639908
LBN Legal business name Golden, Gina Carroll
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Feb 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770639908 NPPES
Arkansas MEDICAID 148257721

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