Individual
MICHAEL WOODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1130 N J ST, RICHMOND, IN 47374-1913
(765) 983-3298
(765) 983-7970
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374
(765) 935-8802
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20042068A
IN
103T00000X
Psychologist
P.07823
OH
103TH0100X
Health Service Psychologist
Primary
20042068B
IN
Other
Enumeration date
04/19/2007
Last updated
09/27/2021
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