Organization
PSYCHOLOGICAL & FAMILY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSEANN M WOODKA PH. D. (PSYCHOLOGIST)
(574) 522-6292
Entity
Organization
Contact information
Practice address
926 E JACKSON BLVD, ELKHART, IN 46516-4351
(574) 522-6292
(574) 522-0481
Mailing address
926 E JACKSON BLVD, ELKHART, IN 46516-4351
(574) 522-6292
(574) 522-0481
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20041649A
IN
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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