Individual
MS. DIANA J GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 TENDRING CIR, PALM HARBOR, FL 34683-6128
(727) 515-7551
Mailing address
30 TENDRING CIR, PALM HARBOR, FL 34683-6128
(727) 515-7551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA1319
FL
Other
Enumeration date
03/05/2011
Last updated
03/05/2011
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