Individual
DR. CHARLES L WOODLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
7112 EAGLE DR, MONTGOMERY, AL 36116-6012
(334) 280-0114
Mailing address
7112 EAGLE DR, MONTGOMERY, AL 36116-6012
(334) 280-0114
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
808
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051555469WOO
—
AL
Enumeration date
08/08/2006
Last updated
10/08/2009
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