Individual
JAMES JEFFREY WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
40 11TH ST, ELKINS, WV 26241-4502
(304) 636-9150
Mailing address
40 11TH ST, ELKINS, WV 26241-4502
(304) 636-9150
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
11103
WV
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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