| Doctor Name: | MARTHA P WOODALL |
| NPI Number: | 1689784936 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 66793 |
| Business Practice Address: | 2 Southern Pointe Parkway Suite 200 Hattiesburg, MS - 39402 |
| Business Phone Number: | 6012682615 |
| Business Fax Number: | 6012682039 |
| Mailing Address: | 415 S 28th Ave, HATTIESBURG |
| State: | MS |
| Postal Code: | 394017246 |
| Phone Number: | 6015795488 |
| Fax Number: | 6012682039 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 06/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 66793 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| 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 |