Individual
DIANE CANUP WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118A SO 2ND STREET, PADUCAH, KY 42003
(270) 442-5027
(270) 441-7849
Mailing address
PO BOX 1084, PADUCAH, KY 42002
(270) 442-5027
(270) 441-7849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY0657
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033
FIRST STEPS PROGRAM
KY
Enumeration date
05/01/2007
Last updated
07/08/2007
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