Individual
MRS. DODIE DOTSON WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3023 WILMINGTON RD, NEW CASTLE, PA 16105-1242
(724) 656-8814
(724) 656-8815
Mailing address
109 FOREST DR, DARLINGTON, PA 16115-3205
(724) 601-2830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007927
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015008000001
MEDICAL ASSISTANCE
PA
Enumeration date
04/10/2007
Last updated
07/08/2007
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