Most Relevant Information
Provider Data
| NPI Number: | 1003179607 |
| Provider Name: | ALEXA J GOFFUS SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 10771 |
Most Important Dates
| Enumeration Date: | 06/19/2012 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
5156 WHIPPLE AVE NW
CANTON
OH
447182663
Practice Location Phone/Fax
| Phone: | 3304781752 |
| Fax: | 3304781763 |
Provider Mailing Location
5362 STATE ROUTE 183
MAGNOLIA
OH
44643
Provider Mailing Phone/Fax
| Phone: | 3308669225 |
| Fax: | 3308662572 |