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NPI Code Detail

MEDICARE: STEPHANIE BENNE WOOD

MEDICARE: STEPHANIE BENNE WOOD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1821735267
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BENNE WOOD
Provider Business Mailing Address
First Line : 128 FAYETTE ST
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-2620
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 128 FAYETTE ST
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-2620
Country : US
Telephone Number : 276-352-4465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2022
Last Update Date : 05/17/2022

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Directions to “ STEPHANIE BENNE WOOD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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