Provider Demographics
NPI:1023204674
Name:WOODS, ANTOINETTE RENEE (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:ANTOINETTE
Middle Name:RENEE
Last Name:WOODS
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 MCKNIGHT PARK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6504
Mailing Address - Country:US
Mailing Address - Phone:412-366-1300
Mailing Address - Fax:412-366-1333
Practice Address - Street 1:802 MCKNIGHT PARK DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-6504
Practice Address - Country:US
Practice Address - Phone:412-366-1300
Practice Address - Fax:412-366-1333
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001977101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional