Individual
ELAINE M WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
226 W KYTLE ST, SUITE B, CLEVELAND, GA 30528-1332
(706) 219-1998
(706) 219-2038
Mailing address
PO BOX 3080, CLEVELAND, GA 30528-0054
(706) 219-2038
(706) 219-2038
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY01744
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000622256A
—
GA
Enumeration date
02/20/2007
Last updated
04/27/2009
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