Doctor Name: | TRISTEN LEIGH WOOD |
NPI Number: | 1013269752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. CCC-SLP |
License Number: | 2202006705 |
Business Practice Address: | 417 Emmet Street, South Charlottesville, VA - 229044260 |
Business Phone Number: | 4349247034 |
Business Fax Number: | 4349244621 |
Mailing Address: | 417 Emmet Street, South, CHARLOTTESVILLE |
State: | VA |
Postal Code: | 229044260 |
Phone Number: | 4349247034 |
Fax Number: | 4349244621 |
NPI Enumeration Date: | 10/04/2012 |
NPI Last Update Date: | 10/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202006705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |