Provider Demographics
NPI:1104809763
Name:HYMAN GOLDBERG, JOY (MA, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:
Last Name:HYMAN GOLDBERG
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5123 CAMBRIAN RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-2623
Mailing Address - Country:US
Mailing Address - Phone:419-885-5424
Mailing Address - Fax:419-865-8532
Practice Address - Street 1:5950 AIRPORT HWY
Practice Address - Street 2:SUITE 17
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-7382
Practice Address - Country:US
Practice Address - Phone:419-865-7500
Practice Address - Fax:419-865-8532
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-28
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP1835235Z00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000129083OtherINSURANCE