Provider Demographics
NPI:1548787815
Name:WOOLFOLK, ALBERTA RENEE (MA-CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALBERTA
Middle Name:RENEE
Last Name:WOOLFOLK
Suffix:
Gender:F
Credentials:MA-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7005 READING RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-3802
Mailing Address - Country:US
Mailing Address - Phone:513-363-9300
Mailing Address - Fax:
Practice Address - Street 1:7005 READING RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3802
Practice Address - Country:US
Practice Address - Phone:513-363-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.4026235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist