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NPI Code Detail

MEDICARE: JULIE WOOD MA, CCC-SLP

MEDICARE: JULIE WOOD MA, CCC-SLP
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 Pathologist5088NC

General Provider Information

NPI Number : 1801198189
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE WOOD MA, CCC-SLP
Provider Business Mailing Address
First Line : 5100 INDIGO MOON WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27613-7362
Country : US
Telephone Number : 919-845-6734
Fax Number :
Provider Business Practice Location Address
First Line : 1500 SAWMILL RD
Second Line :
City : RALEIGH
State : NC
Zip : 27615-4320
Country : US
Telephone Number : 919-848-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2010
Last Update Date : 11/18/2010

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Directions to “ JULIE WOOD MA, CCC-SLP” Practice Location

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