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Nicole Goodrum
Speech-Language Assistant in Encino, California
NPI 1447685862

Nicole Goodrum is a Speech-Language Assistant based in Encino, CA and is specialized in Speech-Language Assistant. Nicole Goodrum practices in Encino, CA. The NPI Number for Nicole Goodrum is 1447685862 and holds a License No. CFY8263 (California).

The current practice location address for Nicole Goodrum is 16500 Ventura Blvd Ste 414, Encino, CA and can be reached out via phone at 818-788-1003.

Location: 16500 Ventura Blvd Ste 414, Encino, CA, 91436-5050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447685862
Provider Name
Nicole Goodrum
Credential
Provider Entity Type
Individual
Gender
Female
Address
16500 Ventura Blvd Ste 414, Encino, CA, 91436-5050
Phone Number
818-788-1003
Fax Number
Provider Enumeration Date
09/04/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CFY8263 01 SLP
institution
Provider Business Practice Location Address Details
Address
16500 Ventura Blvd Ste 414
City
Encino
State
California
Zip
91436-5050
Phone Number
818-788-1003
Fax Number
person
Provider Business Mailing Address Details
Address
16500 Ventura Blvd Ste 414
City
Encino
State
California
Zip
91436-5050
Phone Number
818-788-1003
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
CFY8263 (California)
Definition
Definition to come...
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