Doctor Name: | SARA TOBEY GOOCH |
NPI Number: | 1871773598 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP2048 |
Business Practice Address: | 2 Davis Point Ln Unit 1a Cape Elizabeth, ME - 041072628 |
Business Phone Number: | 2077679773 |
Business Fax Number: | 2075419212 |
Mailing Address: | 2 Davis Point Ln Unit 1a, CAPE ELIZABETH |
State: | ME |
Postal Code: | 041072628 |
Phone Number: | 2077679773 |
Fax Number: | 2075419212 |
NPI Enumeration Date: | 11/09/2007 |
NPI Last Update Date: | 05/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP2048 |
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 |