| Doctor Name: | DR. MARK STEPHEN WOODFORD |
| NPI Number: | 1245446442 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D., LPC, MAC |
| License Number: | 37PC00290700 |
| Business Practice Address: | 2000 Pennington Rd Tcnj, 327 Forcina Hall Ewing, NJ - 086181104 |
| Business Phone Number: | 6097712119 |
| Business Fax Number: | |
| Mailing Address: | 153 Pine Ln, YARDLEY |
| State: | PA |
| Postal Code: | 190672820 |
| Phone Number: | 2153217918 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00290700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |