Doctor Name: | MARIE RALLIE GOODSON-LJUBA |
NPI Number: | 1982851200 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-CCC-SLP |
License Number: | SP8945 |
Business Practice Address: | 54885 Avenida Carranza La Quinta, CA - 922533745 |
Business Phone Number: | 7607758160 |
Business Fax Number: | 7607758483 |
Mailing Address: | 54885 Avenida Carranza, LA QUINTA |
State: | CA |
Postal Code: | 922533745 |
Phone Number: | 3103870740 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 08/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP8945 |
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 |