Individual
MITZI WHITFIELD GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
100 WESTSIDE DR, DOTHAN, AL 36303-1908
(334) 793-2237
Mailing address
24647 NE COUNTY ROAD 69A, ALTHA, FL 32421-3473
(850) 899-3553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA20518
FL
Other
Enumeration date
02/19/2020
Last updated
08/25/2022
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