Provider Demographics
NPI:1831480029
Name:FRANK D. R. WOOD PH.D. LLC
Entity Type:Organization
Organization Name:FRANK D. R. WOOD PH.D. LLC
Other - Org Name:GREATER CINCINNATI PSYCHOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:513-381-6611
Mailing Address - Street 1:12 WALNUT AVENUE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215
Mailing Address - Country:US
Mailing Address - Phone:513-381-6611
Mailing Address - Fax:513-381-7818
Practice Address - Street 1:12 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:OH
Practice Address - Zip Code:45215-4336
Practice Address - Country:US
Practice Address - Phone:513-381-6611
Practice Address - Fax:513-381-7818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6482103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1447401849OtherPERSON NPI
OHCP33761OtherMEDICARE PTAN