Individual
DR. SUZAN TANNER WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1611 NW 12TH AVE, INSTITUTE 138B, MIAMI, FL 33136-1005
(305) 585-5062
(305) 355-4018
Mailing address
1695 NW 9TH AVE, ROOM 2416, MIAMI, FL 33136-1409
(305) 585-5062
(305) 355-4018
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY 4982
FL
103TC0700X
Clinical Psychologist
PY 4982
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY 4982
FL
103TR0400X
Rehabilitation Psychologist
PY 4982
FL
Other
Enumeration date
04/19/2007
Last updated
04/07/2015
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