Individual
SHELLY K. WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1845S DOBSON RD 207, MESA, AZ 85202-5663
(480) 262-9543
(480) 802-2337
Mailing address
1845S DOBSON RD 207, MESA, AZ 85202-5663
(480) 262-9543
(480) 802-2337
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1792
AZ
Other
Enumeration date
07/09/2007
Last updated
09/22/2015
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