Healthcare Provider Details

I. General information

NPI: 1871403378
Provider Name (Legal Business Name): GENEVIEVE GOULET M.A., CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 E CHURCH ST
MARION OH
43302-4317
US

IV. Provider business mailing address

37 WHITEFRIARS DR
COVENTRY TOWNSHIP OH
44319-3050
US

V. Phone/Fax

Practice location:
  • Phone: 740-387-3300
  • Fax:
Mailing address:
  • Phone: 330-285-4118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: