Provider Demographics
NPI:1972691673
Name:GOLZI, MARIA MADDALENA (MA, CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:MADDALENA
Last Name:GOLZI
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 1:105 HARVEST CT
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-4149
Mailing Address - Country:US
Mailing Address - Phone:919-932-9266
Mailing Address - Fax:919-932-9719
Practice Address - Street 1:1818 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:# 162
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7415
Practice Address - Country:US
Practice Address - Phone:919-932-9266
Practice Address - Fax:919-932-9719
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5821235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7412038Medicaid
NC134RJOtherBLUE CROSS BLUE SHIELD