Doctor Name: | SARA LYNN WOODRUFF |
NPI Number: | 1245581362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC/SLP |
License Number: | 06992 |
Business Practice Address: | 11110 Medical Campus Rd 201 Hagerstown, MD - 217426700 |
Business Phone Number: | 3017144025 |
Business Fax Number: | 3017144026 |
Mailing Address: | 11110 Medical Campus Rd, 201 HAGERSTOWN |
State: | MD |
Postal Code: | 217426700 |
Phone Number: | 3017144025 |
Fax Number: | 3017144026 |
NPI Enumeration Date: | 09/28/2012 |
NPI Last Update Date: | 09/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 06992 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |