Provider Demographics
NPI:1396226718
Name:WOODBY, EMILY CAROLINE (MS, SLP-CF)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:CAROLINE
Last Name:WOODBY
Suffix:
Gender:F
Credentials:MS, SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 TANGLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-5383
Mailing Address - Country:US
Mailing Address - Phone:940-231-2242
Mailing Address - Fax:
Practice Address - Street 1:8100 LOMO ALTO DR STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6545
Practice Address - Country:US
Practice Address - Phone:214-368-8251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist