Individual
MS. PAMELA S GODSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5 N MEADOWS RD, SPEECH-LANGUAGE & HEARING ASSOCIATES, PC, MEDFIELD, MA 02052-2317
(508) 359-4532
(508) 359-0198
Mailing address
72 WATERMAN ST, PAWTUCKET, RI 02861-2945
(508) 397-0883
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M21875
MEDICARE PTAN
MA
Enumeration date
08/04/2010
Last updated
12/10/2012
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