Individual
PATRICIA HENRY GOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8909 RAND AVE, DAPHNE, AL 36526-9126
(251) 210-1632
(251) 625-3152
Mailing address
8909 RAND AVE, DAPHNE, AL 36526-9126
(251) 210-1632
(251) 625-3152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4276
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4276
STATE LICENSE
AL
Enumeration date
06/26/2018
Last updated
06/26/2018
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