Individual
MONIQUE TAMARA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
31023 CAMP PKWY, COURTLAND, VA 23837-2012
(757) 562-3007
Mailing address
14082 BLUE RIDGE TRL, WINDSOR, VA 23487-6028
(757) 217-6559
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008190
VA
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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