Doctor Name: | MRS. PAT GOODRICH |
NPI Number: | 1386857431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SLPL1437 |
Business Practice Address: | 553 E Plaza Cir Litchfield Park, AZ - 853404930 |
Business Phone Number: | 6235356000 |
Business Fax Number: | |
Mailing Address: | 4702 N Greenview Cir W, LITCHFIELD PARK |
State: | AZ |
Postal Code: | 853405010 |
Phone Number: | 6239351449 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLPL1437 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |