Organization
MARIE W. WOOD PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY BORMAN (BILLING MANAGER)
(479) 236-3221
Entity
Organization
Contact information
Practice address
215 N EAST AVE, FAYETTEVILLE, AR 72701-5296
(479) 521-9696
Mailing address
PO BOX 4808, FAYETTEVILLE, AR 72702-4808
(479) 236-3221
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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