Doctor Name: | MRS. ERICA M WOODRUFF |
NPI Number: | 1003065061 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLMHP |
License Number: | 8712 |
Business Practice Address: | 1650 Lake St Lincoln, NE - 685023734 |
Business Phone Number: | 4024815496 |
Business Fax Number: | 4024815495 |
Mailing Address: | 1650 Lake St, LINCOLN |
State: | NE |
Postal Code: | 685023734 |
Phone Number: | 4024815496 |
Fax Number: | 4024815495 |
NPI Enumeration Date: | 09/15/2008 |
NPI Last Update Date: | 01/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 8712 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |