Bridget Amber Godson, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Elizabethtown, KY
NPI 1922406586 · NPPES record last updated Jul 19, 2023
Key facts
- NPI
- 1922406586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 276509 (KY)
- Practice address
- 529 Westport Rd
Elizabethtown, KY 42701-2923 - Phone
- (270) 807-0316
- NPI assigned
- Dec 15, 2014
- 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)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276509 | KY | MD | Speech-Language Pathologist |
| 110889 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 276509 | KY | Yes |
| Speech-Language Pathologist | 235Z00000X | 110889 | TX | |
| Speech-Language Pathologist | 235Z00000X | 4683 | KS |
Addresses
Primary practice location
529 Westport Rd
Elizabethtown, KY 42701-2923
Mailing address
363 W Lincoln Trail Blvd
Radcliff, KY 40160-3302
Phone (502) 780-9137
Other practice location 1
363 W Lincoln Trail Blvd
Radcliff, KY 40160-3302
Phone (502) 780-9137
Other providers in Elizabethtown, KY
- Marcella Amanda Gleason
- Robert Cleveland Gleason
- Christopher J Godfrey
- John A Godfrey
- William J Godfrey
- Taresa Lynn Goldsmith
- Lacy Goldstein
- Good Shepherd Institute of the Bluegrass
- Jason Edward Goodman
- Christina Gordon
All providers in Elizabethtown, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2023. 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.