Provider Demographics
NPI:1801568712
Name:ANDREW WOOD PSYCHOTHERAPY INC.
Entity type:Organization
Organization Name:ANDREW WOOD PSYCHOTHERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:M
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:413-218-2891
Mailing Address - Street 1:77 FRANKLIN ST STE 809
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110-1508
Mailing Address - Country:US
Mailing Address - Phone:413-218-2891
Mailing Address - Fax:857-233-5983
Practice Address - Street 1:77 FRANKLIN ST STE 809
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02110-1508
Practice Address - Country:US
Practice Address - Phone:413-218-2891
Practice Address - Fax:857-233-5983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health