Doctor Name: | DR. JACQUELINE A WOODS |
NPI Number: | 1013060631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D |
License Number: | PSY 24070 |
Business Practice Address: | 1420 Willow Pass Rd #200 Concord, CA - 945205823 |
Business Phone Number: | 5106465480 |
Business Fax Number: | |
Mailing Address: | 1420 Willow Pass Rd, #200 CONCORD |
State: | CA |
Postal Code: | 945205823 |
Phone Number: | 5106465480 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 01/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | PSY 24070 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |