Individual
TAMARA FAY GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M A
Contact information
Practice address
331 LARK PL, LOVELAND, CO 80537-7345
(970) 214-1980
Mailing address
331 LARK PL, LOVELAND, CO 80537-7345
(970) 214-1980
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0001703
CO
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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