Doctor Name: | SHARON ELIZABETH GODFREY |
NPI Number: | 1063686996 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC, SLP |
License Number: | 2315 |
Business Practice Address: | 1322 Charmont Dr Charleston, AR - 729339060 |
Business Phone Number: | 4796494695 |
Business Fax Number: | |
Mailing Address: | 1322 Charmont Dr, CHARLESTON |
State: | AR |
Postal Code: | 729339060 |
Phone Number: | 4797477734 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2008 |
NPI Last Update Date: | 11/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2315 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |