Doctor Name: | MEGAN GOOLDEN |
NPI Number: | 1639457914 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 021179-1 |
Business Practice Address: | 10 Main St North Coast Therapy Llc Waddington, NY - 136940249 |
Business Phone Number: | 3153887703 |
Business Fax Number: | 3153884707 |
Mailing Address: | Po Box 23, 10 Main St WADDINGTON |
State: | NY |
Postal Code: | 136940249 |
Phone Number: | 3153887703 |
Fax Number: | 3153884707 |
NPI Enumeration Date: | 08/03/2011 |
NPI Last Update Date: | 08/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 021179-1 |
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 |