| Amanda Woods, Phd, Llc | |
|
285 S Perry St Lawrenceville GA 30046-4840 | |
| (770) 570-9193 | |
| (888) 339-2833 |
| Full Name | Amanda Woods, Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 285 S Perry St, Lawrenceville, Georgia |
| Authorized Official Name and Position | Amanda Woods (PHD/OWNER) |
| Authorized Official Contact | 7705709193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Woods, Phd, Llc 285 S Perry St Lawrenceville GA 30046-4840 Ph: (770) 570-9193 | Amanda Woods, Phd, Llc 285 S Perry St Lawrenceville GA 30046-4840 Ph: (770) 570-9193 |
| NPI Number | 1649602475 |
|---|---|
| Provider Enumeration Date | 08/03/2013 |
| Last Update Date | 08/03/2013 |
| Medicare PECOS PAC ID | 2163651688 |
|---|---|
| Medicare Enrollment ID | O20140204000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649602475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY003472 (Georgia) | Primary |
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