Individual
MARY ROBIN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.M.H.C.
Contact information
Practice address
227 N DIXIE WAY, STE 335, SOUTH BEND, IN 46637-3385
(574) 220-1298
(574) 472-1282
Mailing address
620 W ANGELA BLVD, SOUTH BEND, IN 46617-1008
(574) 220-1298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001959A
IN
103TB0200X
Cognitive & Behavioral Psychologist
20042170A
IN
Other
Enumeration date
03/09/2008
Last updated
11/30/2016
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