Individual
JODY A. UNDERWOOD
Active
Individual
JODY A. UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD10700
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007009540
MEDICARE ID-TYPE UNSPECIFIED
RI
01
—
1093831646
BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE NPI
—
01
—
1104801349
BUTLER HOSPITAL NPI
RI
01
—
15-76362
UNITED BEHAVIORAL HEALTH
RI
01
—
1528003712
NPI
RI
01
—
26418-3
BLUE CROSS
RI
01
—
409612
BLUE CHIP
RI
05
—
7009540
—
RI
Enumeration date
06/19/2006
Last updated
06/23/2008
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