Provider Demographics
NPI:1831864495
Name:WOODS, DEBORAH ANN (SLP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:WOODS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 HILLCREST CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-3009
Mailing Address - Country:US
Mailing Address - Phone:828-713-0560
Mailing Address - Fax:865-951-7273
Practice Address - Street 1:4381 BELLS FERRY RD NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-1303
Practice Address - Country:US
Practice Address - Phone:724-816-1800
Practice Address - Fax:865-951-7273
Is Sole Proprietor?:No
Enumeration Date:2021-08-14
Last Update Date:2021-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP010766235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist