Individual
DEBRA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
62 NORTHWOOD RD, MADISON, CT 06443-1658
(203) 984-5711
Mailing address
62 NORTHWOOD RD, MADISON, CT 06443-1658
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002706
CT
Other
Enumeration date
01/21/2012
Last updated
04/08/2014
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