Individual
KRISTEN J GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
111 CENTER PARK DR STE 103, KNOXVILLE, TN 37922-2128
(704) 564-4659
Mailing address
1101 FRONT ROYAL LN, KNOXVILLE, TN 37922-5287
(704) 564-4659
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5700
TN
Other
Enumeration date
07/09/2008
Last updated
01/10/2018
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