Individual
AUDREY GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2407 LAPORTE AVE, FORT COLLINS, CO 80521-2211
(513) 600-2524
Mailing address
2407 LAPORTE AVE, FORT COLLINS, CO 80521-2211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24441515
CO
Other
Enumeration date
10/11/2024
Last updated
10/30/2024
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