Provider Demographics
NPI:1871690123
Name:WOODRING, LAURA BETH (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:BETH
Last Name:WOODRING
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 HARVEST LANE
Mailing Address - Street 2:
Mailing Address - City:MOUNT WASHINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40047
Mailing Address - Country:US
Mailing Address - Phone:502-432-0782
Mailing Address - Fax:504-538-8213
Practice Address - Street 1:121 HARVEST LN.
Practice Address - Street 2:
Practice Address - City:MT. WASHINGTON
Practice Address - State:KY
Practice Address - Zip Code:40047-5813
Practice Address - Country:US
Practice Address - Phone:502-432-0782
Practice Address - Fax:502-538-8213
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-2583235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist