National Provider Identifier

Laurie Elaine Goodwill, M.A.CCC-SLP

Laurie Elaine Goodwill, M.A.CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in East Aurora, NY and a listed phone number of (716) 652-6464.

NPI 1538481700East Aurora, NYSpeech-Language Pathologist

Profile Overview

NPI
1538481700
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
February 16, 2010
Last Updated
October 04, 2010

Practice Location

  • 97 Hamburg St
  • East Aurora, NY 14052-2139

Phone: (716) 652-6464

Mailing Address

  • 4291 Harlem RD
  • Amherst, NY 14226-4428

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1538481700
Entity Type
Individual
Last Name
Goodwill
First Name
Laurie
Middle Name
Elaine
Name Prefix
MS.
Credential
M.A.CCC-SLP
Mailing Street Address
4291 Harlem RD
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-4428
Mailing Country
US
Mailing Phone
(716) 839-1088
Practice Street Address
97 Hamburg St
Practice City
East Aurora
Practice State
NY
Practice ZIP Code
14052-2139
Practice Country
US
Practice Phone
(716) 652-6464
Practice Fax
(716) 652-6499
Enumeration Date
February 16, 2010
Last Updated
October 04, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)