Most Relevant Information
Provider Data
| NPI Number: | 1003269820 |
| Provider Name: | MALLORY GOLDEN M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/16/2016 |
| Last Updated: | 07/17/2017 |
Provider Practice Location
185 CHARLOIS BLVD
WINSTON SALEM
NC
271031521
Practice Location Phone/Fax
| Phone: | 3367250222 |
| Fax: | 3367250454 |
Provider Mailing Location
185 CHARLOIS BLVD
WINSTON SALEM
NC
271031521
Provider Mailing Phone/Fax
| Phone: | 3367250222 |
| Fax: | 3367250454 |