Marla Goren, M.A./CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 5229 Issued in FL

Practice address

5046 Prairie Dunes Village Cir
Lake Worth, FL 33463-8214

Phone

(954) 401-4018

NPI assigned

Nov 18, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Different Like Me Inc

  • Clinical Social Worker
  • Boca Raton, FL
  • NPI 1093915043

  Speech-Language Pathologist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1154795813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 PRAIRIE DUNES VILLAGE CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334638214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5046 PRAIRIE DUNES VILLAGE CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334638214",
            "telephone_number": "954-401-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOREN",
        "first_name": "MARLA",
        "credential": "M.A./CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 5229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Goodman
• Laurie D Goodwin, PTA
• Mary Gopeesingh
• Gordon Grenn D.O., P.a.
• Amy Gordon, LCSW
• Michael Gott, DMD
• Grace Assisted Living Facility LLC
• Graceful Home Care Services, LLC
• Gracious Caring Home Health Agency LLC
• Amy Nicole Graham

• Speech-Language Pathologist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.