| Doctor Name: | SANDRA LYNN WOOD |
| NPI Number: | 1174778195 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | QMHP,RN |
| License Number: | 041-145623 |
| Business Practice Address: | 2323 Windish Dr Galesburg, IL - 614019780 |
| Business Phone Number: | 3093444231 |
| Business Fax Number: | 3093444368 |
| Mailing Address: | 2323 Windish Dr, GALESBURG |
| State: | IL |
| Postal Code: | 614019780 |
| Phone Number: | 3093444231 |
| Fax Number: | 3093444368 |
| NPI Enumeration Date: | 11/18/2008 |
| NPI Last Update Date: | 11/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 041-145623 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |