Individual
DR. JOAN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071003761
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021646695
BCBS PROVIDER NUMBER
IL
01
—
1673285
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/08/2006
Last updated
08/12/2008
Update your record
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