Individual
REGAN ALYSSA WOODCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
635 S MAIN ST # B, LEITCHFIELD, KY 42754-1056
(270) 287-0656
(270) 230-0328
Mailing address
60 GATEWAY CT, SMITHS GROVE, KY 42171-8283
(270) 597-6677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14434167
KY
Other
Enumeration date
04/11/2022
Last updated
04/07/2024
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