Provider Demographics
NPI:1780953109
Name:GOELER, NETTIE (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:NETTIE
Middle Name:
Last Name:GOELER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 EMORY AVE
Mailing Address - Street 2:
Mailing Address - City:CAZENOVIA
Mailing Address - State:NY
Mailing Address - Zip Code:13035-1043
Mailing Address - Country:US
Mailing Address - Phone:315-655-1324
Mailing Address - Fax:
Practice Address - Street 1:31 EMORY AVE
Practice Address - Street 2:
Practice Address - City:CAZENOVIA
Practice Address - State:NY
Practice Address - Zip Code:13035-1043
Practice Address - Country:US
Practice Address - Phone:315-655-1324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist