Sharon V Goen, BS SPEECH THERAPY
Individual provider Active NPI Speech-Language Pathologist · Moberly, MO
NPI 1659406262 · NPPES record last updated Feb 19, 2009
Key facts
- NPI
- 1659406262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 00076 (MO)
- Practice address
- Moberly Public School
926 Kwix Rd
Moberly, MO 65270-3813 - Phone
- (660) 269-2600
- Fax
- (660) 269-2611
- NPI assigned
- Feb 22, 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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00076 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 00076 | MO | Yes |
Addresses
Primary practice location
Moberly Public School
926 Kwix Rd
Moberly, MO 65270-3813
Mailing address
926 Kwix Rd
Moberly, MO 65270-3813
Phone (660) 269-2600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 463648303 | Medicaid | MO |
Other providers in Moberly, MO
- Heather Marie Gessling
- Rebecca Gibson
- Daniel R Gilbert
- Christine Marie Ginter
- Brooke D Gipson
- Frederic Lee Gottman
- Brandi Nicole Grant
- Terry Wayne Griggs
- Kevin Dean Gunnerson
- Michael Wade Harrod
All providers in Moberly, 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 Feb 19, 2009. 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.