Doctor Name: | LINDSEY ANN GOODRICH |
NPI Number: | 1770831059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP2102 |
Business Practice Address: | 2 Davis Point Ln Suite 1a Cape Elizabeth, ME - 041072620 |
Business Phone Number: | 2077679773 |
Business Fax Number: | |
Mailing Address: | 2 Davis Point Ln, Suite 1a CAPE ELIZABETH |
State: | ME |
Postal Code: | 041072620 |
Phone Number: | 2077679773 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2012 |
NPI Last Update Date: | 08/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP2102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |