Individual
JILL C GOODHEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4911 STATE AVE, KANSAS CITY, KS 66102-1749
(913) 287-8851
(913) 287-5431
Mailing address
4911 STATE AVE, KANSAS CITY, KS 66102-1749
(913) 287-8851
(913) 287-5431
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2969
KS
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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