Individual
MICHAELA ELIZABETH GOODLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 S PRAIRIE AVE, PUEBLO, CO 81005-2307
(719) 569-4411
Mailing address
1321 S PRAIRIE AVE, PUEBLO, CO 81005-2307
(719) 569-4411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
02/12/2024
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