Provider Demographics
NPI:1841443207
Name:GOODWIN, MARTHA A (HEARING INSTR SPEC)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:A
Last Name:GOODWIN
Suffix:
Gender:F
Credentials:HEARING INSTR SPEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 HUNTINGDON PIKE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6113
Mailing Address - Country:US
Mailing Address - Phone:215-947-2606
Mailing Address - Fax:
Practice Address - Street 1:2555 HUNTINGDON PIKE
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6113
Practice Address - Country:US
Practice Address - Phone:215-947-2606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2389237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist