| Lisa Woodgate, | |
|
21419 W Dove Valley Rd, Wittmann, AZ 85361 | |
| (623) 388-2321 | |
| Not Available |
| Full Name | Lisa Woodgate |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 21419 W Dove Valley Rd, Wittmann, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194876250 | NPI | - | NPPES |
| 814485 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP2110 (Arizona) | Primary |
| 235Z00000X | Speech-language Pathologist | SA 633 (Florida) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Woodgate, 22850 W Sierra Ridge Way, Wittmann, AZ 85361-8785 Ph: () - | Lisa Woodgate, 21419 W Dove Valley Rd, Wittmann, AZ 85361 Ph: (623) 388-2321 |
Margaret Burk, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 28620 N 211th Ave, Wittmann, AZ 85361 Phone: 602-295-4495 | |
Mrs. Virginia H. Carlson, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21419 W. Dove Valley Road, Wittmann, AZ 85361 Phone: 623-388-2321 Fax: 623-388-2915 |