Provider Demographics
NPI:1376919936
Name:WOODRING, FAITH EMILY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:EMILY
Last Name:WOODRING
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18628 67TH PL NE
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-7928
Mailing Address - Country:US
Mailing Address - Phone:509-539-7208
Mailing Address - Fax:
Practice Address - Street 1:18628 67TH PL NE
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-7928
Practice Address - Country:US
Practice Address - Phone:509-539-7208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA501321C235Z00000X
WALL61132088235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist