| Doctor Name: | MS. NICOLE B. GOODSON |
| NPI Number: | 1649560228 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC-SLP |
| License Number: | 41YSOO593600 |
| Business Practice Address: | 1064 S Main St West Creek, NJ - 080922912 |
| Business Phone Number: | 6094482650 |
| Business Fax Number: | 6094882651 |
| Mailing Address: | 27 Wimbleton Ln, LITTLE EGG HARBOR TWP |
| State: | NJ |
| Postal Code: | 080879654 |
| Phone Number: | 6098794858 |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2011 |
| NPI Last Update Date: | 01/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 41YSOO593600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| 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 |