Individual
HOWARD WOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD HSSP
Contact information
Practice address
400 WABASH AVE STE 212, TERRE HAUTE, IN 47807-3276
(812) 234-4642
(812) 234-7314
Mailing address
400 WABASH AVE STE 212, PO BOX 98, TERRE HAUTE, IN 47807-3276
(812) 234-4642
(812) 234-7314
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
20090127A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025192A
—
IN
Enumeration date
02/06/2007
Last updated
07/08/2007
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