Individual
DR. JODY LYNN WOODWARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
14561 N OUTER 40 RD, STE 250, CHESTERFIELD, MO 63017-5703
(636) 288-9631
(877) 842-8918
Mailing address
1976 PICKFAIR DR, SAINT LOUIS, MO 63146-3628
(636) 288-9631
(877) 842-8918
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2005005795
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197560
BCBS MISSOURI
MO
05
—
497215111
—
MO
01
—
797676000
MAGELLAN
MO
Enumeration date
10/18/2005
Last updated
08/29/2017
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