Individual
SARA GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
5015 E 29TH ST N, DOOR T, WICHITA, KS 67220-2110
(316) 978-3298
Mailing address
5015 E 29TH ST N, DOOR T, WICHITA, KS 67220-2110
(316) 978-3298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2987
KS
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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