Individual
MEGAN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC
Contact information
Practice address
10632 E DOGWOOD CT, CLAREMORE, OK 74019-0313
(405) 570-2486
Mailing address
10632 E DOGWOOD CT, CLAREMORE, OK 74019-0313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14042543
OK
Other
Enumeration date
06/06/2016
Last updated
06/07/2016
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