Bridgette Jeanne Goodwin
Individual provider Active NPI Speech-Language Pathologist · Des Peres, MO
NPI 1104969831 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104969831
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2004035763 (MO)
- Practice address
- 1082 Old Des Peres Rd
Des Peres, MO 63131-1865 - Phone
- (314) 821-5230
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004035763 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2004035763 | MO | Yes |
Addresses
Primary practice location
1082 Old Des Peres Rd
Des Peres, MO 63131-1865
Mailing address
2706 Allen Ave
Saint Louis, MO 63104-2118
Phone (314) 773-4493
Other names
- Mrs. Bridgette Jeanne Barnhart
Other providers in Des Peres, MO
- Francis Zechiel Consulting
- Megan Funcheon
- Delia M Garcia
- Joseph Pravoot Gira
- Maria Montserrat Gonzalez
- Maureen Grainger
- Susan Mary Gray
- John T. Gudmundson
- Benjamin Hale
- Christopher Barclay Hamm
All providers in Des Peres, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.