Individual
MS. NICOLE B. GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1064 S MAIN ST, WEST CREEK, NJ 08092-2912
(609) 448-2650
(609) 488-2651
Mailing address
27 WIMBLETON LN, LITTLE EGG HARBOR TWP, NJ 08087-9654
(609) 879-4858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YSOO593600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YSOO593600
SPEECH LANGUAGE PATHOLOGIST
NJ
Enumeration date
04/15/2011
Last updated
01/25/2014
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