Provider Demographics
NPI:1336497254
Name:GOLDSTEIN, ALINA (MS, CCC-SLP, TSSLD)
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:GOLDSTEIN
Suffix:
Gender:
Credentials:MS, CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:ALINA
Other - Middle Name:
Other - Last Name:GODKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC SLP TSSLD
Mailing Address - Street 1:136 MACKENZIE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2304
Mailing Address - Country:US
Mailing Address - Phone:347-749-5951
Mailing Address - Fax:
Practice Address - Street 1:136 MACKENZIE STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2304
Practice Address - Country:US
Practice Address - Phone:347-749-5951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022930235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist