Doctor Name: | MRS. DIANNE WOODS |
NPI Number: | 1003113739 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-PMH |
License Number: | R151970 |
Business Practice Address: | 10400 Connecticut Ave Ste 202 Kensington, MD - 208953941 |
Business Phone Number: | 3016514275 |
Business Fax Number: | 3012310124 |
Mailing Address: | Po Box 113, GARRETT PARK |
State: | MD |
Postal Code: | 208960113 |
Phone Number: | 3016514275 |
Fax Number: | 3012310124 |
NPI Enumeration Date: | 02/15/2011 |
NPI Last Update Date: | 02/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | R151970 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |