Larita Goforth, SLP
Individual provider Active NPI Speech-Language Pathologist · Forest, MS
NPI 1205129889 · NPPES record last updated Dec 11, 2018
Key facts
- NPI
- 1205129889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- S2941 (MS)
- Practice address
- 1129 Highway 35 S Ste 2
Forest, MS 39074-8829 - Phone
- (601) 469-1001
- NPI assigned
- May 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S2941 | MS | Yes |
Addresses
Primary practice location
1129 Highway 35 S Ste 2
Forest, MS 39074-8829
Mailing address
4109 Highway 98 W
Summit, MS 39666-9132
Other providers in Forest, MS
- Forest Family Pharmacy, LLC
- Forest Family Practice Clinic PA
- French'S Pharmacy, Inc.
- Ruth C Gaddis
- Christina Giles
- Billy Rashod Gray
- Natalie Grundel
- H&P Dispatching LLC
- Hands & Hearts
- Robin Sullivan Hardin
All providers in Forest, MS · Speech-Language Pathologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2018. 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.