Larita Goforth, SLP Valid NPI
Individual provider · Speech-Language Pathologist · Forest, MS
- NPI
- 1205129889
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- S2941 (MS)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-05-16
- Last updated
- 2018-12-11
Practice location
1129 Highway 35 S Ste 2
Forest, MS 39074-8829
(601) 469-1001