| Organization Name: | VANCE T. WOOD, PSYD, PC |
| NPI Number: | 1124167952 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VANCE T WOOD (PRESIDENT-PSYCHOLOGIST) |
| Mailing Address: | 462 Memory Ln Suite 110 Dawsonville |
| State: | GA US |
| Postal Code: | 305344314 |
| Phone Number: | 7062651357 |
| Fax Number: | 7062651406 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3014 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |