Doctor Name: | MS. PERRI MARLENE GOODMAN |
NPI Number: | 1114297140 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MACCC |
License Number: | 00200493 |
Business Practice Address: | 37501 Joy Rd Westland, MI - 481857538 |
Business Phone Number: | 7344511155 |
Business Fax Number: | |
Mailing Address: | 30137 Walnut Ct, FARMINGTON HILLS |
State: | MI |
Postal Code: | 483312284 |
Phone Number: | 2486616905 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2012 |
NPI Last Update Date: | 01/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 00200493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |