| Doctor Name: | MS. LAURIE ELAINE GOODWILL |
| NPI Number: | 1538481700 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC-SLP |
| License Number: | 005128-1 |
| Business Practice Address: | 97 Hamburg St East Aurora, NY - 140522139 |
| Business Phone Number: | 7166526464 |
| Business Fax Number: | 7166526499 |
| Mailing Address: | 4291 Harlem Rd, AMHERST |
| State: | NY |
| Postal Code: | 142264428 |
| Phone Number: | 7168391088 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2010 |
| NPI Last Update Date: | 10/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 005128-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| 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 |