| Doctor Name: | DR. JEFFREY PAUL WOODARD |
| NPI Number: | 1851516074 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 0810002698 |
| Business Practice Address: | 2915 Hunter Mill Rd Ste 14 Oakton, VA - 221241716 |
| Business Phone Number: | 5712890181 |
| Business Fax Number: | |
| Mailing Address: | 10066 Oakton Terrace Rd, OAKTON |
| State: | VA |
| Postal Code: | 221242900 |
| Phone Number: | 5712324710 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2007 |
| NPI Last Update Date: | 12/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0810002698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |