Jody Lynn Woodward in Saint Louis - Clinical
Jody Lynn Woodward - NPI 1780673186
Jody Lynn Woodward is a Clinical in Saint Louis, Missouri. Jody Lynn Woodward practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jody Lynn Woodward is 1780673186. The last update date is 2017-08-29.
Jody Lynn Woodward's current location address is 1976 Pickfair Dr, Saint Louis, Missouri. You can contact this provider via phone number 6362889631 and fax number 8778428918. The mailing address for Jody Lynn Woodward is 1976 Pickfair Dr, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody Lynn Woodward |
|---|---|
| Address | 1976 Pickfair Dr, Saint Louis, Missouri |
| Phone Number | 6362889631 |
| Fax Number | 8778428918 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1780673186 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2017-08-29 |
Provider Mailing Address Detail
| Address | 1976 Pickfair Dr |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631463628 |
| Phone Number | 6362889631 |
| Fax Number | 8778428918 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2005005795 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 197560 | MO | BCBS MISSOURI | |
| 497215111 | MO | -- | |
| 797676000 | MO | MAGELLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jody Lynn Woodward by the Centers for Medicare & Medicaid Services?
The Jody Lynn Woodward has been assigned the NPI (National Provider Identifier) 1780673186 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jody Lynn Woodward is located?
The Jody Lynn Woodward is situated at the following address: 1976 Pickfair Dr, Saint Louis, MO, 631463628.
What is Jody Lynn Woodward's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jody Lynn Woodward's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Jody Lynn Woodward receive its 1780673186 assignment from the Centers for Medicare & Medicaid Services?
The Jody Lynn Woodward was assigned its 1780673186 by the Centers for Medicare & Medicaid Services on 2005-10-18.
As of what date were the details related to Jody Lynn Woodward most recently updated or revised?
The information pertaining to Jody Lynn Woodward, including its address, specialty, and other relevant details, was last updated or revised on 2017-08-29.
NPI Number: 1215930425
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