Individual
DR. SHANIN LYNN GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
4626 26TH ST W, BRADENTON, FL 34207
(941) 755-5535
Mailing address
4626 26TH ST W, BRADENTON, FL 34207-1701
(941) 755-5535
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4899680
GHI
FL
05
—
600454700
—
FL
Enumeration date
06/11/2006
Last updated
06/26/2019
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