Provider Demographics
NPI:1194992107
Name:WOFFORD, CYNTHIA ELIZABETH (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ELIZABETH
Last Name:WOFFORD
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4333 DEAN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:AR
Mailing Address - Zip Code:72921-8258
Mailing Address - Country:US
Mailing Address - Phone:479-632-2166
Mailing Address - Fax:
Practice Address - Street 1:1220 COLLUM LN W
Practice Address - Street 2:ALMA INTERMEDIATE SCHOOL
Practice Address - City:ALMA
Practice Address - State:AR
Practice Address - Zip Code:72921-5003
Practice Address - Country:US
Practice Address - Phone:479-632-2166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR408235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist