Individual
JENNIFER L GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
959 NASH RUN RD, MIDDLEBOURNE, WV 26149-7731
(740) 370-8303
Mailing address
959 NASH RUN RD, MIDDLEBOURNE, WV 26149-7731
(740) 370-8303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.013647
IL
235Z00000X
Speech-Language Pathologist
9508547-4102
UT
235Z00000X
Speech-Language Pathologist
Primary
SLP-1187
WV
235Z00000X
Speech-Language Pathologist
SP-7322
OH
235Z00000X
Speech-Language Pathologist
SPL6462
NM
Other
Enumeration date
05/28/2010
Last updated
07/26/2024
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