Provider Demographics
NPI:1518041375
Name:WOOD, PRISCILLA A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PRISCILLA
Middle Name:A
Last Name:WOOD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 COMPTON RD
Mailing Address - Street 2:SUITE 32
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3826
Mailing Address - Country:US
Mailing Address - Phone:513-521-5088
Mailing Address - Fax:513-521-4856
Practice Address - Street 1:800 COMPTON RD
Practice Address - Street 2:SUITE 32
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3826
Practice Address - Country:US
Practice Address - Phone:513-521-5088
Practice Address - Fax:513-521-4856
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4934103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist