Doctor Name: | ABIGAIL GODFREY |
NPI Number: | 1578904637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 2202006982 |
Business Practice Address: | 2300 Fall Hill Ave Suite 515 Fredericksburg, VA - 224013342 |
Business Phone Number: | 5407410544 |
Business Fax Number: | 5407410546 |
Mailing Address: | 321 Park Hill Dr, FREDERICKSBURG |
State: | VA |
Postal Code: | 224013375 |
Phone Number: | 5404462654 |
Fax Number: | 5406562755 |
NPI Enumeration Date: | 07/17/2013 |
NPI Last Update Date: | 07/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202006982 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |