Provider Demographics
NPI:1427271469
Name:WOODS, TRACI BEDSOLE (AUD)
Entity type:Individual
Prefix:DR
First Name:TRACI
Middle Name:BEDSOLE
Last Name:WOODS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12621 N 103RD AVE
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3402
Mailing Address - Country:US
Mailing Address - Phone:623-933-3088
Mailing Address - Fax:623-933-0172
Practice Address - Street 1:12621 N 103RD AVE
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3402
Practice Address - Country:US
Practice Address - Phone:623-933-3088
Practice Address - Fax:623-933-0172
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA3685237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter