Individual
SUSAN K GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12847 PEMBROKE CIR, LEAWOOD, KS 66209-1625
(913) 484-2302
Mailing address
12847 PEMBROKE CIR, LEAWOOD, KS 66209-1625
(913) 484-2302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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