Doctor Name: | KELLY LEIGH WOOD |
NPI Number: | 1942598586 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | TL-1978 |
Business Practice Address: | 3809 Bayshore Rd North Cape May, NJ - 082043259 |
Business Phone Number: | 6098980677 |
Business Fax Number: | 6098981186 |
Mailing Address: | 42 Tattersall Dr, WEST DEPTFORD |
State: | NJ |
Postal Code: | 080511734 |
Phone Number: | 8569049433 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2011 |
NPI Last Update Date: | 07/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | TL-1978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |