Provider Demographics
NPI:1033401781
Name:WOODSON, KAMILAH MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAMILAH
Middle Name:MARIE
Last Name:WOODSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2441 4TH STREET, NW
Mailing Address - Street 2:HOWARD UNIVERSITY SCHOOL OF EDUCATION
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20059
Mailing Address - Country:US
Mailing Address - Phone:202-806-7350
Mailing Address - Fax:
Practice Address - Street 1:HOWARD UNIVERSITY SCHOOL OF EDUCATION
Practice Address - Street 2:2441 4TH STREET, NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20059-0001
Practice Address - Country:US
Practice Address - Phone:202-806-7350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1000346103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical