Individual
KATLYN GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 RESIDENTIAL CENTER RD, CHOCTAW, MS 39350-6780
(601) 389-2812
(601) 607-1417
Mailing address
599C STEED RD, RIDGELAND, MS 39157-1707
(601) 605-6777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-4918
MS
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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