Individual
IAN WOODWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 W BEN WHITE BLVD STE 210A, AUSTIN, TX 78704-7182
(512) 960-4533
Mailing address
1221 W BEN WHITE BLVD STE 210A, AUSTIN, TX 78704-7182
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
39137
TX
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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