Healthcare Provider Details

I. General information

NPI: 1942408539
Provider Name (Legal Business Name): MRS. ANNA MARIE WOODRING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 WESTEN ST
BOWLING GREEN KY
42104-5843
US

IV. Provider business mailing address

703 COTTONWOOD DR
BOWLING GREEN KY
42103-1407
US

V. Phone/Fax

Practice location:
  • Phone: 270-796-6643
  • Fax:
Mailing address:
  • Phone: 270-282-3725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberKY142458
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: