Individual
JOHN V ELWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1717 SW H K DODGEN LOOP, SUITE 110, TEMPLE, TX 76502-1838
(254) 791-8900
(254) 200-4090
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4090
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22427
TX
103TS0200X
School Psychologist
6090
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00BY20
BCBS
TX
05
—
032356001
—
TX
01
—
742281271
SUPERIOR HEALTH CHIP
TX
01
—
91851
SCOTT & WHITE
TX
Enumeration date
12/07/2005
Last updated
04/21/2009
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