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Individual

DR. SCOTT E. WOODRING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
001046-1
NY
231H00000X
Audiologist
Primary
AT000370L
PA
235Z00000X
Speech-Language Pathologist
004412-1
NY
235Z00000X
Speech-Language Pathologist
SL0002164L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015473120001
PA
05
01810035
NY
01
640004227
RR MEDICARE PIN
PA
01
CC9269
RR MEDICARE GROUP
PA
01
GU040061
PA MEDICARE GROUP
PA
Enumeration date
02/28/2006
Last updated
09/19/2011
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