Phyllis Raye Wood in Bartlesville - Addiction (substance Use Disorder)

Phyllis Raye Wood - NPI 1588875546

Phyllis Raye Wood is a Addiction (substance Use Disorder) in Bartlesville, Oklahoma. Phyllis Raye Wood practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Phyllis Raye Wood is 1588875546. The last update date is 2007-07-08.

Phyllis Raye Wood's current location address is 3004 Interurban Dr, Bartlesville, Oklahoma. You can contact this provider via phone number 9184409129 and fax number 9183368710. The mailing address for Phyllis Raye Wood is 3004 Interurban Dr, Bartlesville, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Phyllis Raye Wood
Address 3004 Interurban Dr, Bartlesville, Oklahoma
Phone Number 9184409129
Fax Number 9183368710
Sole Proprietor Y
Credentials B.S.

NPI Number Detail

NPI Number 1588875546
Provider Enumeration Date 2007-05-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3004 Interurban Dr
City Bartlesville
State Oklahoma (OK)
Post Code 740061403
Phone Number 9184409129
Fax Number 9183368710

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No CADC PENDING
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Phyllis Raye Wood

What is the Phyllis Raye Wood's 1588875546?

The Phyllis Raye Wood's NPI (National Provider Identifier) Number is 1588875546. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Phyllis Raye Wood is physically located?

The Phyllis Raye Wood is situated at the following address: 3004 Interurban Dr, Bartlesville, OK 740061403.

What is the Phyllis Raye Wood's specialty and taxonomy code?

The Phyllis Raye Wood's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1588875546 to Phyllis Raye Wood?

The Centers for Medicare & Medicaid Services assigned the 1588875546 to Phyllis Raye Wood on 2007-05-24.

When was the information regarding Phyllis Raye Wood, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Phyllis Raye Wood, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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