Provider Demographics
NPI:1447401849
Name:WOOD, FRANK (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:WOOD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 VICTORY PKWY
Mailing Address - Street 2:APT 1503
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-2824
Mailing Address - Country:US
Mailing Address - Phone:513-886-7636
Mailing Address - Fax:
Practice Address - Street 1:9078 UNION CENTRE BLVD
Practice Address - Street 2:STE 350
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4992
Practice Address - Country:US
Practice Address - Phone:513-886-7636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6482103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical