Provider Demographics
NPI:1528387537
Name:GOODMAN KESSLER, JUNE (CCC-SLP;MS)
Entity Type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:
Last Name:GOODMAN KESSLER
Suffix:
Gender:F
Credentials:CCC-SLP;MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11909 BERANS RD
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-1522
Mailing Address - Country:US
Mailing Address - Phone:410-913-5121
Mailing Address - Fax:410-561-1905
Practice Address - Street 1:11909 BERANS RD
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-1522
Practice Address - Country:US
Practice Address - Phone:410-913-5121
Practice Address - Fax:410-561-1905
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04277235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist