Goodrum, Nicole
Goodrum, Nicole is an sole proprietor health care provider with primary practice located at 16500 Ventura Blvd Ste 414 , Encino CA 91436-5050. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Goodrum, Nicole can be contacted via phone (818) 788-1003.Contact Information
Primary practice address
16500 Ventura Blvd Ste 414
Encino CA 91436-5050
Phone: (818) 788-1003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | CFY8263 | California |
Profile Details
| NPI number | 1447685862 |
|---|---|
| LBN Legal business name | Goodrum, Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2013 |
| Last updated | Sep 4th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447685862 | NPPES |
| Other | CFY8263 | SLP |
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