Individual
RACHELLE NICOLE GOODBRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1220A E JOPPA RD STE 230D, TOWSON, MD 21286-5817
(410) 889-0795
Mailing address
1220A E JOPPA RD STE 230D, TOWSON, MD 21286-5817
(410) 889-0795
(877) 766-8925
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
4071
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01690
STATE LICENSE
MD
01
—
4071
STATE LICENSE
SC
Enumeration date
06/26/2017
Last updated
10/01/2024
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