Organization
JOHN O. WOOD PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN OWEN WOOD PSY.D. (OWNER)
(573) 778-3913
Entity
Organization
Contact information
Practice address
1906 GREENWOOD DR, SUITE B, POPLAR BLUFF, MO 63901-2430
(573) 778-3913
(573) 778-0925
Mailing address
1906 GREENWOOD DR, SUITE B, POPLAR BLUFF, MO 63901-2430
(573) 778-3913
(573) 778-0925
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
01540
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493461404
—
MO
Enumeration date
06/07/2010
Last updated
06/07/2010
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