Individual
DR. BARBARA SULLIVAN WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2304 SIMPSON ST, DUBUQUE, IA 52003-7719
(866) 244-5721
Mailing address
PO BOX 1084, DUBUQUE, IA 52004-1084
(866) 244-5721
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00498
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0032417
—
IA
01
—
030155
BCBS OF IOWA
IA
01
—
421236341-01
HMO OF WISCONSIN
IA
01
—
421306312016
BCBS WISCONSIN
WI
01
—
912-72002-00
BCBS OF ILLINOIS
IL
01
—
A007185
CHAMPUS
IA
01
—
C877HN
HERITAGE NATIONAL HEALTH
IA
Enumeration date
02/12/2007
Last updated
07/08/2007
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