Individual
NANCY L GOOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 2ND ST SE, MINOT, ND 58701-3924
(701) 857-4410
Mailing address
215 2ND ST SE, MINOT, ND 58701-3924
(701) 857-4410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
932
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50930
—
ND
Enumeration date
02/02/2007
Last updated
07/08/2007
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