Provider Demographics
NPI:1891367066
Name:WOODS FAMILY SPEECH THERAPY
Entity Type:Organization
Organization Name:WOODS FAMILY SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FALLON
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:530-632-0329
Mailing Address - Street 1:761 PLUMAS ST UNIT 933
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95992-2140
Mailing Address - Country:US
Mailing Address - Phone:530-632-0329
Mailing Address - Fax:
Practice Address - Street 1:1215 PLUMAS ST STE 1200
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3490
Practice Address - Country:US
Practice Address - Phone:530-632-0329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech