Doctor Name: | FARRAH D WOODBERRY |
NPI Number: | 1588835706 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3817 |
Business Practice Address: | 719 North Main Street Marion, SC - 29571 |
Business Phone Number: | 8434231811 |
Business Fax Number: | |
Mailing Address: | 7245 Highway 908, BRITTONS NECK |
State: | SC |
Postal Code: | 295465085 |
Phone Number: | 8433629911 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2008 |
NPI Last Update Date: | 04/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |