Individual
MS. JAIME MARIE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
610 MAY AVE, NORFOLK, VA 23504-4301
(757) 628-2466
(757) 628-2461
Mailing address
610 MAY AVE, NORFOLK, VA 23504-4301
(757) 628-2466
(757) 628-2461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12119407
VA
235Z00000X
Speech-Language Pathologist
Primary
2202005801
VA
Other
Enumeration date
07/09/2009
Last updated
04/24/2018
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