Individual
DR. ROB WOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2655 PORTAGE BAY E, SUITE 8, DAVIS, CA 95616-3073
(530) 902-1683
Mailing address
2655 PORTAGE BAY E, SUITE 8, DAVIS, CA 95616-3073
(530) 902-1683
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY13069
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY13069
CA
103TC0700X
Clinical Psychologist
PSY13069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY130690
—
CA
Enumeration date
10/31/2005
Last updated
02/10/2012
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