Individual
DR. BRIAN J WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
5045 N MAIN ST, SUITE 223, DAYTON, OH 45415-3698
(937) 276-3356
(937) 276-9514
Mailing address
5045 N MAIN ST, SUITE 223, DAYTON, OH 45415-3698
(937) 276-3356
(937) 276-9514
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3536
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
671867
—
OH
Enumeration date
10/10/2006
Last updated
03/01/2012
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