Individual
ELLEN WOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6580
(559) 499-6581
Mailing address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6580
(559) 499-6581
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 22726
CA
2084N0400X
Neurology Physician
PSY22726
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY227260
—
CA
Enumeration date
06/30/2009
Last updated
05/07/2019
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