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Contact Information

DENNIS J WOODY, PH D
1310 W HAYS STREET
BOISE, ID83702
 Phone: 208-395-0041
 Fax: 208-343-4458
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DENNIS J WOODY · (Male)

NPI # 1376659177
Status Active
Credentials PH D
Entity Individual
Enumeration date 08/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ID License # PSY276
  • ID Other N2761 BLUE CROSS OF IDAHO
  • ID Other 000010016343 REGENCE BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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