Provider Demographics
NPI:1689812331
Name:WOODS, NATHANIEL ANTHONY JR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:ANTHONY
Last Name:WOODS
Suffix:JR
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 N EUCLID AVE APT 14
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1346
Mailing Address - Country:US
Mailing Address - Phone:510-815-2103
Mailing Address - Fax:
Practice Address - Street 1:435 N EUCLID AVE APT 14
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1346
Practice Address - Country:US
Practice Address - Phone:510-815-2103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health