Doctor Name: | DR. AMY NICOLE GOODWINE |
NPI Number: | 1285698308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AU.D. |
License Number: | 2101001172 |
Business Practice Address: | 3986 Fettler Park Dr Dumfries, VA - 220251997 |
Business Phone Number: | 7032218307 |
Business Fax Number: | 7032218548 |
Mailing Address: | 8800 Se Sunnyside Rd, Ste 300-n CLACKAMAS |
State: | OR |
Postal Code: | 970155738 |
Phone Number: | 5036595115 |
Fax Number: | 5036595887 |
NPI Enumeration Date: | 04/14/2006 |
NPI Last Update Date: | 04/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 2101001172 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |