Provider Demographics
NPI:1285424507
Name:WOODS, LYDIA GRACE (SLP)
Entity type:Individual
Prefix:MISS
First Name:LYDIA
Middle Name:GRACE
Last Name:WOODS
Suffix:
Gender:
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 BARRINGER DR APT 11
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2943
Mailing Address - Country:US
Mailing Address - Phone:606-594-0461
Mailing Address - Fax:
Practice Address - Street 1:202 FRANFORT ST
Practice Address - Street 2:SUITE 103 AND 104
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383
Practice Address - Country:US
Practice Address - Phone:859-212-9705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist