Individual
TIMOTHY JOHN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
480 RESERVOIR AVE, CRANSTON, RI 02910-1729
(401) 270-2500
(401) 415-6055
Mailing address
480 RESERVOIR AVE, CRANSTON, RI 02910-1729
(401) 270-2500
(401) 270-2500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00322
RI
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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