Healthcare Provider Details

I. General information

NPI: 1023931219
Provider Name (Legal Business Name): LINDSEY MARIE WOODRUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15215 S 48TH ST STE 144
PHOENIX AZ
85044-9138
US

IV. Provider business mailing address

15215 S 48TH ST UNIT 144
PHOENIX AZ
85044-9142
US

V. Phone/Fax

Practice location:
  • Phone: 602-358-8148
  • Fax: 602-358-7994
Mailing address:
  • Phone: 602-358-8148
  • Fax: 602-358-7994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLP-13021
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: