Provider Demographics
NPI:1598213381
Name:WOOKEY, FRANCELLA MARIE
Entity Type:Individual
Prefix:MRS
First Name:FRANCELLA
Middle Name:MARIE
Last Name:WOOKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 9TH ST
Mailing Address - Street 2:PO BOX 152
Mailing Address - City:BRITTON
Mailing Address - State:SD
Mailing Address - Zip Code:57430-2288
Mailing Address - Country:US
Mailing Address - Phone:605-290-1758
Mailing Address - Fax:
Practice Address - Street 1:1208 9TH ST.
Practice Address - Street 2:
Practice Address - City:BRITTON
Practice Address - State:SD
Practice Address - Zip Code:57430
Practice Address - Country:US
Practice Address - Phone:605-290-1758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD282 LIMITED235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1639368517Medicaid