Goodchild, Therese Georgette
Goodchild, Therese Georgette is an sole proprietor health care provider with primary practice located at 37 Brantwood Rd , Worcester MA 01602-1705. 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. Goodchild, Therese Georgette can be contacted via phone (413) 695-6670.Contact Information
Primary practice address
37 Brantwood Rd
Worcester MA 01602-1705
Phone: (413) 695-6670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 0003655 | Massachusetts |
Profile Details
| NPI number | 1194029512 |
|---|---|
| LBN Legal business name | Goodchild, Therese Georgette |
| Credentials | M.S., CCC-SLP, M.E.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2010 |
| Last updated | Dec 28th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194029512 | NPPES |
| Massachusetts | MEDICAID | 0304336 | |
| Massachusetts | Other | 0003655 |
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