Provider Demographics
NPI:1275710337
Name:WOODS, MARTHA S (MA/ASHA)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:S
Last Name:WOODS
Suffix:
Gender:F
Credentials:MA/ASHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 EDISON LN
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-1956
Mailing Address - Country:US
Mailing Address - Phone:215-348-9257
Mailing Address - Fax:
Practice Address - Street 1:12 EDISON LN
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-1956
Practice Address - Country:US
Practice Address - Phone:215-348-9257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000828L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist