Provider Demographics
NPI:1639441793
Name:WOODCOCK, JOANNA CHESSON (MA,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:CHESSON
Last Name:WOODCOCK
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Gender:F
Credentials:MA,CCC-SLP
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Mailing Address - Street 1:5603 W FRIENDLY AVE STE B
Mailing Address - Street 2:274
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4252
Mailing Address - Country:US
Mailing Address - Phone:336-790-0271
Mailing Address - Fax:336-740-9099
Practice Address - Street 1:3907A W MARKET ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1303
Practice Address - Country:US
Practice Address - Phone:336-279-9008
Practice Address - Fax:336-740-9099
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2021-06-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC6420235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist