Goforth, Larita

Goforth, Larita is an sole proprietor health care provider with primary practice located at 1129 Highway 35 S Ste 2 , Forest MS 39074-8829. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Goforth, Larita can be contacted via phone (601) 469-1001.

Contact Information

Primary practice address
1129 Highway 35 S Ste 2 Forest MS 39074-8829
Phone: (601) 469-1001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S2941 Mississippi

Profile Details

NPI number 1205129889
LBN Legal business name Goforth, Larita
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2011
Last updated Dec 11th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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