Doctor Name: | MRS. LORA JEAN GOEBEL |
NPI Number: | 1760809560 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP5906 |
Business Practice Address: | 718 N Brush St Fremont, OH - 434201404 |
Business Phone Number: | 4193328964 |
Business Fax Number: | 4193346788 |
Mailing Address: | 4467 N Jackson Tr 65, FOSTORIA |
State: | OH |
Postal Code: | 44830 |
Phone Number: | 4193328964 |
Fax Number: | 4193346788 |
NPI Enumeration Date: | 03/19/2014 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP5906 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |