Individual
MRS. BRIDGET NICHOLE WOODHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
221 QUEENS CT, TAYLORSVILLE, KY 40071-6932
(502) 338-2788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2960
KY
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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