Individual
AMY BETH GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
972 OAK HILL CT, MIDDLEBURY, IN 46540-9272
(765) 491-4770
(574) 825-0872
Mailing address
972 OAK HILL CT, MIDDLEBURY, IN 46540-9272
(765) 491-4770
(574) 825-0872
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003645A
IN
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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