Individual
MR. JEREMY D WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
4500 OLD GREENWOOD RD, FORT SMITH, AR 72903-6417
(479) 646-5700
Mailing address
4500 OLD GREENWOOD RD, FORT SMITH, AR 72903-6417
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2944
AR
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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