Individual
MRS. JODI LYNN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
455 S GULPH RD, SUITE 230, KING OF PRUSSIA, PA 19406-3114
(610) 992-0555
(610) 992-1010
Mailing address
1800 CARMEL PL, MAPLE GLEN, PA 19002-3131
(215) 643-4090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL004126L
PA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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