MS. Elise Sue Goodman, M.A. CCC
NPI #1962524165 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1962524165
- Entity Type
- Individual
- Name
- MS. Elise Sue Goodman, M.A. CCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A. CCC
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 977 MAIN ST
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02451-7406
- Phone
- (781) 891-0452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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