Provider Demographics
NPI:1760742662
Name:WOODS, ANNA SCHWALB (MS, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:SCHWALB
Last Name:WOODS
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 E BROADWAY BLVD, STE C
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37760
Mailing Address - Country:US
Mailing Address - Phone:865-471-0466
Mailing Address - Fax:865-471-0468
Practice Address - Street 1:661 E BROADWAY BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:JEFFERSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37760-2057
Practice Address - Country:US
Practice Address - Phone:865-471-0466
Practice Address - Fax:865-471-0468
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001349237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I649620OtherMEDICARE PTAN