Provider Demographics
NPI:1649001991
Name:GOLTSMAN, SARAH ISABELLE (AUD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ISABELLE
Last Name:GOLTSMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 LIBBEY PKWY FL 2
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-3102
Mailing Address - Country:US
Mailing Address - Phone:224-619-0444
Mailing Address - Fax:
Practice Address - Street 1:200 LIBBEY PKWY FL 2
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-3102
Practice Address - Country:US
Practice Address - Phone:224-619-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAUD100111231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist