Provider Demographics
NPI:1346432978
Name:WOODS-NEWMAN, KATHERINE KILLIAN (MA SLP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:KILLIAN
Last Name:WOODS-NEWMAN
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 DENT RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019-4116
Mailing Address - Country:US
Mailing Address - Phone:540-265-4281
Mailing Address - Fax:540-265-4287
Practice Address - Street 1:775 DENT RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-4116
Practice Address - Country:US
Practice Address - Phone:540-265-4281
Practice Address - Fax:540-265-4287
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005343235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist