Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STACEY P GOODMAN, COTA
Active Sole ProprietorMRS. STACEY P GOODMAN, COTA is a Specialist healthcare provider located in SOUTH BEND, Indiana. NPI 1568639490 is currently active in the NPPES registry. Verify at CMS.
Specialist · SOUTH BEND, IN
Registration Details
- NPI Number
- 1568639490
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 9, 2008 (18.269682855656 yrs)
- Last Updated
- May 9, 2008
- License
-
32000767A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
926 E WAYNE STSOUTH BEND, IN, 466173000Browse IN providers · Browse ZIP 46617
- Phone
- 5742338812
- Fax
- 5742338873
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN L JENKINS | M.D. | 1003818212 |
| DONALD W SMITH | MD | 1063416931 |
| DR. ZDZISLAW JERRY KOSEL | MD | 1821044637 |
| DR. THOMAS R. KEUCHER | M.D. | 1114956497 |
| MRS. RENEE L HENSLEY | PT | 1104834670 |
| STEPHEN EDWARD ZUCKER | M.D. | 1801983242 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.