Individual
MARTHA WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
35 POST OFFICE PARK, SUITE 3504, WILBRAHAM, MA 01095-1172
(413) 596-6922
Mailing address
35 POST OFFICE PARK, SUITE 3504, WILBRAHAM, MA 01095-1172
(413) 596-6922
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6995
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093488
VALUE OPTIONS
MA
01
—
24588
HEALTH NEW ENGLAND
MA
01
—
3081091
CIGNA BEHAVIORAL HEALTH
MA
01
—
W05842
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
11/01/2006
Last updated
07/08/2007
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