Individual
MS. PATRICIA OLIVIA GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
600 BROADWAY STE 200, SEATTLE, WA 98122-5373
(206) 215-1770
(206) 215-1771
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60832547
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528312865
—
WA
Enumeration date
11/08/2012
Last updated
06/17/2020
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