Doctor Name: | MRS. JULIE ANN GOFF |
NPI Number: | 1871950063 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS/CCC-SLP |
License Number: | SL001561L |
Business Practice Address: | 682 Pleasant Dr Warren, PA - 163653468 |
Business Phone Number: | 8147237060 |
Business Fax Number: | 8147234544 |
Mailing Address: | 1100 Shawnee Road, LIMA |
State: | OH |
Postal Code: | 45805 |
Phone Number: | 4199992030 |
Fax Number: | 4199910909 |
NPI Enumeration Date: | 01/20/2016 |
NPI Last Update Date: | 01/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL001561L |
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 |