Doctor Name: | MS. JENNIFER GOODWIN |
NPI Number: | 1881050805 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SP#3352 |
Business Practice Address: | 3050 Hylton Rd Springdale, AR - 727648259 |
Business Phone Number: | 4797508885 |
Business Fax Number: | |
Mailing Address: | 800 E Emma Ave, SPRINGDALE |
State: | AR |
Postal Code: | 727644638 |
Phone Number: | 4797508880 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2016 |
NPI Last Update Date: | 01/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#3352 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |