Doctor Name: | MS. JENNY LOUISE GOODMAN-BOWDEN |
NPI Number: | 1669745287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | SL008045 |
Business Practice Address: | 101 Pocono Dr Ste 2&3 Milford, PA - 183379408 |
Business Phone Number: | 5702963992 |
Business Fax Number: | |
Mailing Address: | 104 Robbins Rd, MIDDLETOWN |
State: | NY |
Postal Code: | 109407488 |
Phone Number: | 8454125260 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2012 |
NPI Last Update Date: | 02/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL008045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |