| Doctor Name: | MRS. BRIDGETTE JEANNE GOODWIN |
| NPI Number: | 1104969831 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2004035763 |
| Business Practice Address: | 1082 Old Des Peres Rd Des Peres, MO - 631311865 |
| Business Phone Number: | 3148215230 |
| Business Fax Number: | |
| Mailing Address: | 2706 Allen Ave, SAINT LOUIS |
| State: | MO |
| Postal Code: | 631042118 |
| Phone Number: | 3147734493 |
| Fax Number: | |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2004035763 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| 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 |