Individual
KRISTIE GOSHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
163 SUMMIT DR, LEWISTOWN, PA 17044-1245
(717) 248-3941
Mailing address
163 SUMMIT DR, LEWISTOWN, PA 17044-1245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SL00738
SPEECH/LANGUAGE PATHOLOGIST
PA
Enumeration date
05/10/2018
Last updated
05/10/2018
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