Doctor Name: | MR. HUBERT R WOOD |
NPI Number: | 1568414431 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | PC002382 |
Business Practice Address: | 2819-0 Willow Street Pike Willow Street, PA - 17584 |
Business Phone Number: | 7174641464 |
Business Fax Number: | 7174644348 |
Mailing Address: | 7 Nettie Lane, LANCASTER |
State: | PA |
Postal Code: | 176039691 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC002382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |