Individual
KATHY MARIE WOOLHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC
Contact information
Practice address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Mailing address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00441
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092
EI NHPRC
RI
01
—
292177
EI BLUE CROSS
RI
01
—
407603
BLUE CHIP
RI
01
—
412296
EI BLUE CHIP
RI
01
—
4600103
EI UHP
RI
Enumeration date
07/26/2006
Last updated
05/02/2022
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