Healthcare Provider Details

I. General information

NPI: 1548184211
Provider Name (Legal Business Name): KYMBERLY WOODRING ED.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KYMBERLY BOWLEN ED.S.

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7635 GLENWOOD AVE
YOUNGSTOWN OH
44512-5822
US

IV. Provider business mailing address

7635 GLENWOOD AVE
YOUNGSTOWN OH
44512-5822
US

V. Phone/Fax

Practice location:
  • Phone: 330-726-3414
  • Fax:
Mailing address:
  • Phone: 330-726-3414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.02901
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: