Beth Ellen Goerlitz, CCC., SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA8700 Issued in FL

Practice address

305 Clyde Morris Blvd Ste 220
Ormond Beach, FL 32174-8187

Phone

(386) 676-3130

NPI assigned

Jul 30, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1689864142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5946 PARK RIDGE DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321277547",
            "telephone_number": "386-846-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CLYDE MORRIS BLVD STE 220",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748187",
            "telephone_number": "386-676-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERLITZ",
        "first_name": "BETH",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "CCC., SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Marie Gintoli, LMHC
• H Phillip Glazner, R. PH
• April May Gleason, LMMT
• Lolether Elester Glover-Crooms
• Chelsey Devon Godbey, COTA/L
• Trista Goetz, OT
• Golden Abbey Enterprises, Inc
• Bonnie S Goldman
• Parker Goldstein, DMD
• Luis Gomez, ARNP

• All providers in Ormond Beach, FL
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.