Individual
TARA GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2790 N ACADEMY BLVD STE 227, COLORADO SPRINGS, CO 80917-5338
(719) 425-7771
(719) 425-7771
Mailing address
2790 N ACADEMY BLVD STE 227, COLORADO SPRINGS, CO 80917-5338
(719) 425-7771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0000547
CO
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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