Doctor Name: | SUSAN JEAN GOODRICH |
NPI Number: | 1871577569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | SP5600 |
Business Practice Address: | 2521 Stockton Blvd Suite 6112d Sacramento, CA - 958172207 |
Business Phone Number: | 9167345406 |
Business Fax Number: | 9164578214 |
Mailing Address: | 1221 Swanston Dr, SACRAMENTO |
State: | CA |
Postal Code: | 958183413 |
Phone Number: | 9164435745 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP5600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |