Individual
MRS. AMANDA L GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
182 AUTUMN RIDGE CT, BRUNSWICK, GA 31525-4746
(912) 261-1873
(912) 261-2295
Mailing address
182 AUTUMN RIDGE CT, BRUNSWICK, GA 31525-4746
(912) 261-1873
(912) 261-2295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004763
GA
Other
Enumeration date
12/05/2006
Last updated
07/09/2007
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