Individual
KATRINA WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 677-4048
(860) 677-4048
Mailing address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 677-4048
(860) 677-4048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3364
CT
235Z00000X
Speech-Language Pathologist
7463
MA
235Z00000X
Speech-Language Pathologist
SP00999
RI
Other
Enumeration date
02/06/2007
Last updated
11/14/2012
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