Individual
MS. JENNIFER GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3050 HYLTON RD, SPRINGDALE, AR 72764-8259
(479) 750-8885
Mailing address
800 E EMMA AVE, SPRINGDALE, AR 72764-4638
(479) 750-8880
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#3352
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12150216
ASHA
—
Enumeration date
01/06/2016
Last updated
01/06/2016
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