Doctor Name: | ELEANOR J WOOLLARD |
NPI Number: | 1093778045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0701001615 |
Business Practice Address: | 7580 Hospital Dr Suite 201 Gloucester, VA - 230614178 |
Business Phone Number: | 8046930810 |
Business Fax Number: | 8046930211 |
Mailing Address: | 7580 Hospital Dr, Suite 201 GLOUCESTER |
State: | VA |
Postal Code: | 230614178 |
Phone Number: | 8046930810 |
Fax Number: | 8046930211 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701001615 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |