Individual
MS. KATHRYN GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3472 PIONEER DR, LAKE HAVASU CITY, AZ 86404-4135
(928) 208-2011
Mailing address
3472 PIONEER DR, LAKE HAVASU CITY, AZ 86404-4135
(928) 208-2011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5255
AZ
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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