Individual
DR. CARLY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 DIXIE HWY STE 126, LOUISVILLE, KY 40216-2994
(502) 810-3780
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
245817
KY
103TC0700X
Clinical Psychologist
Primary
273223
KY
Other
Enumeration date
07/23/2021
Last updated
06/06/2024
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