Individual
ALEXA J GOFFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5156 WHIPPLE AVE NW, CANTON, OH 44718-2663
(330) 478-1752
(330) 478-1763
Mailing address
5362 STATE ROUTE 183, MAGNOLIA, OH 44643
(330) 866-9225
(330) 866-2572
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10771
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2930574
—
OH
Enumeration date
06/19/2012
Last updated
07/21/2022
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