Provider Demographics
NPI:1598804429
Name:WOODS, PATRICIA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1062 LANCASTER AVENUE
Mailing Address - Street 2:SUITE 26-A
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010
Mailing Address - Country:US
Mailing Address - Phone:215-316-9153
Mailing Address - Fax:978-251-8082
Practice Address - Street 1:1062 LANCASTER AVENUE
Practice Address - Street 2:SUITE 26-A
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010
Practice Address - Country:US
Practice Address - Phone:215-316-9153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4375103T00000X
PAPC009134101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist