Healthcare Provider Details

I. General information

NPI: 1154841575
Provider Name (Legal Business Name): JULIA A. WOOD AU.D., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA A. GODDEERIS AU.D, CCC-A

II. Dates (important events)

Enumeration Date: 06/27/2017
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 8TH AVE NE STE 310
ISSAQUAH WA
98029-5436
US

IV. Provider business mailing address

510 8TH AVE NE STE 310
ISSAQUAH WA
98029-5436
US

V. Phone/Fax

Practice location:
  • Phone: 425-454-3938
  • Fax: 425-392-3561
Mailing address:
  • Phone: 425-454-3938
  • Fax: 425-392-3561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD61095114
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License NumberLD61095114
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberLD61095114
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberLD61095114
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: