Elisa Goldklang, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP006550 Issued in GA

Practice address

4799 Fairville CT
Marietta, GA 30062-6479

Phone

(770) 594-3194

NPI assigned

Mar 5, 2012

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1932473287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4799 FAIRVILLE CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626479",
            "telephone_number": "770-594-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4799 FAIRVILLE CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626479",
            "telephone_number": "770-594-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDKLANG",
        "first_name": "ELISA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Russell Golden, LMT, MMP
• Judith Lynn Golden, LCSW LMFT
• Ryan Goldfine, D.P.M.
• Holly Goldin, PT
• Kerri Lynne Golding, LCSW
• Barbara Ann Goldschmidt, RPH
• Kenneth Philip Goldstein, DMD
• Brian Goldstone, DO
• Joseph W Goldsworthy, D.C.
• Wanda Vanessa Goss Goldthrip, LPC

• Speech-Language Pathologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.