Individual
COURTNEY NOELLE GOEDHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1422 W WILLOW ST, CHICAGO, IL 60642-8978
(312) 399-0370
Mailing address
4815 N LOWELL AVE, CHICAGO, IL 60630-2635
(951) 237-1681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242005718
IL
Other
Enumeration date
03/13/2021
Last updated
02/10/2022
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