Provider Demographics
NPI:1275787277
Name:WOODS, BRANDI (SLP)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12147 ROCK SWITCH ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:DE
Mailing Address - Zip Code:19968-2677
Mailing Address - Country:US
Mailing Address - Phone:302-228-9888
Mailing Address - Fax:302-684-8931
Practice Address - Street 1:12147 ROCK SWITCH ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:DE
Practice Address - Zip Code:19968-2677
Practice Address - Country:US
Practice Address - Phone:302-228-9888
Practice Address - Fax:302-684-8931
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE01-0001028235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist