| Doctor Name: | DR. MELISSA LEA WOODSON |
| NPI Number: | 1023110509 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 32583 |
| Business Practice Address: | 5007 Lavender Leaf Longview, TX - 756040600 |
| Business Phone Number: | 9037591043 |
| Business Fax Number: | 9037590897 |
| Mailing Address: | 5007 Lavender Leaf, LONGVIEW |
| State: | TX |
| Postal Code: | 756040600 |
| Phone Number: | 9037591043 |
| Fax Number: | 9037590897 |
| NPI Enumeration Date: | 09/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 32583 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |