Individual
MISS CHRISTINA MARIE GOODHEART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
111 FOREST RD, STATEN ISLAND, NY 10304-2940
(646) 267-9609
Mailing address
111 FOREST RD, STATEN ISLAND, NY 10304-2940
(646) 267-9609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
020071
NY
Other
Enumeration date
08/02/2010
Last updated
11/29/2021
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