MITZI WHITFIELD GOODMAN (NPI# 1609409515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609409515 |
| Entity Type | Individual |
| Full Name | MITZI WHITFIELD GOODMAN |
| Credential | SLPA |
| Practice Address |
100 Westside Dr Dothan AL 36303-1908 |
| Mailing Address |
2706 Nottingham Way Dothan AL 36305-9751 |
| Practice Telephone | 3347932237 |
| Mailing Telephone | 8508993553 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355A2700X |
Specialist/Technologist Specialization: Audiology Assistant |
Speech, Language and Hearing Service Providers |
| Street Address |
100 WESTSIDE DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174008502 | Jakobbee White | Counselor | 100 Westside Dr, Dothan, AL 36303-1908 | 2018-10-02 |
| 1326534330 | Kristen Thompson | Speech-Language Pathologist | 100 Westside Dr, Dothan, AL 36303-1908 | 2018-07-03 |
| 1811482920 | Leslie Mathis | Speech-Language Pathologist | 100 Westside Dr, Dothan, AL 36303-1908 | 2018-06-30 |
| 1073004248 | Cameron Powe | Psychologist | 100 Westside Dr, Dothan, AL 36303-1908 | 2018-05-23 |
| 1568997963 | Lauren Thomas Benak | Speech-Language Pathologist | 100 Westside Dr, Dothan, AL 36303-1908 | 2017-04-24 |
| 1134575525 | Michael Brennan | Counselor | 100 Westside Dr, Dothan, AL 36303-1908 | 2016-05-04 |
| 1851526883 | Kimberly Kaye Gorland | Speech-Language Pathologist | 100 Westside Dr, Dothan, AL 36303-1908 | 2009-05-19 |
| 1225138720 | Robert Joseph Nolan | Clinical Neuropsychologist | 100 Westside Dr, Dothan, AL 36303-1908 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 2355A2700X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Audiology Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336617471 | Lashonda Nicole Cole | Specialist/Technologist | Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362 | 2018-11-07 |
| 1073081113 | Jessica J Trawick-edwards | Specialist/Technologist | Lyster Army Health Clinic, Building 301 Andrews Avenue, Fort Rucker, AL 36362-5333 | 2018-11-07 |
| 1851770788 | Valerie Widgeon | Specialist/Technologist | 213 38th St Ne, Fort Payne, AL 35967-3909 | 2015-05-26 |
| 1023390580 | Donna Tacey | Specialist/Technologist | 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2011-09-12 |
| 1851673313 | Tiger Barbee | Specialist/Technologist | 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-0000 | 2011-09-12 |
Please comment or provide details below to improve the information on MITZI WHITFIELD GOODMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.