Individual
STEPHANIE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 E 9TH AVE, SPOKANE, WA 99202-2409
(509) 354-2789
Mailing address
1300 E 9TH AVE, SPOKANE, WA 99202-2409
(509) 354-2789
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60787725
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL60787725
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
10/18/2018
Last updated
10/18/2018
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