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MS. ELISE SUE GOODMAN M.A. CCC NPI 1962524165


NPI Information

NPI: 1962524165
Provider Name: MS. ELISE SUE GOODMAN, M.A. CCC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
977 MAIN ST
WALTHAM, MA
ZIP 02451
Phone: (781) 891-0452
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MS. Elise Sue Goodman, M.A. CCC is a speech language pathologist in Waltham, MA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MS. Elise Sue Goodman, M.A. CCC NPI is 1962524165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

977 MAIN ST
WALTHAM, MA
ZIP 02451-406
Phone: (781) 891-0452

The enumeration date for this NPI number is 4/6/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist3171MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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