Sydney Jade Woodman, SLP
Individual provider Active NPI Speech-Language Pathologist · Grand Rapids, MI
NPI 1144812025 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1144812025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7101008245 (MI)
- Practice address
- 235 Wealthy St SE
Grand Rapids, MI 49503-5247 - Phone
- (616) 840-8000
- NPI assigned
- Feb 11, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Northern PT, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101008245 | MI | Yes |
Addresses
Primary practice location
235 Wealthy St SE
Grand Rapids, MI 49503-5247
Mailing address
235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone (616) 840-7135
Other providers in Grand Rapids, MI
- Anthony Woodard
- Zackary Douglas Woodard
- Emily Woodcock
- Adelyn Wooden
- Woodland Chiropractic PLLC
- Woodmeadow Dentistry, PLLC
- Thea Joyce Woodnorth
- James Thomas Woodrick
- Andrew Jon Woodrow
- Joseph Woodruff
All providers in Grand Rapids, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.