Doctor Name: | MRS. CAROLYN WOOLLARD |
NPI Number: | 1003932021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,CCC-SLP |
License Number: | MO108889 |
Business Practice Address: | 5309 S. Main Morrisville, MO - 657109120 |
Business Phone Number: | 4173762215 |
Business Fax Number: | 4173763243 |
Mailing Address: | 5309 S. Main, MORRISVILLE |
State: | MO |
Postal Code: | 657109120 |
Phone Number: | 4173762215 |
Fax Number: | 4173763243 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | MO108889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |