Provider Demographics
NPI:1326745837
Name:CAROL WOODS, PH.D., PLLC
Entity Type:Organization
Organization Name:CAROL WOODS, PH.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:805-975-7617
Mailing Address - Street 1:10011 BRIDGEPORT WAY SW
Mailing Address - Street 2:STE. 1500, #225
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499
Mailing Address - Country:US
Mailing Address - Phone:253-368-2443
Mailing Address - Fax:
Practice Address - Street 1:11812 CREEKSIDE DR SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-1275
Practice Address - Country:US
Practice Address - Phone:253-368-2443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health