Individual
DR. STACEY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 COLUMBIA AVE, STEELE 108, CLAREMONT, CA 91711-3905
(909) 607-9505
Mailing address
1280 N COLLEGE AVE, CLAREMONT, CA 91711-3929
(909) 706-2764
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
16805
CA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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