Provider Demographics
NPI:1669701363
Name:WOODS, MEGAN M (BS)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:M
Last Name:WOODS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 N BEAVER ST
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-3042
Mailing Address - Country:US
Mailing Address - Phone:928-213-8263
Mailing Address - Fax:
Practice Address - Street 1:515 N BEAVER ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3042
Practice Address - Country:US
Practice Address - Phone:928-213-8263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst