Goldman, Jodi

Goldman, Jodi is an sole proprietor health care provider with primary practice located at 5 N Crest Pl , Lakewood NJ 08701-2967. 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. Goldman, Jodi can be contacted via phone (215) 530-9113.

Contact Information

Primary practice address
5 N Crest Pl Lakewood NJ 08701-2967
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL007220 Pennsylvania

Profile Details

NPI number 1437322666
LBN Legal business name Goldman, Jodi
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2008
Last updated Apr 9th, 2008 - about 17 years ago

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 1437322666 NPPES
Pennsylvania MEDICAID 0019643600002

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