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Contact Information

RENEE A WOODALL PHD PROFESSIONAL LLC
2629 REDWING RD STE 316
FORT COLLINS, CO80526-2879
 Phone: 970-556-5836
 Fax: 970-837-3352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RENEE A WOODALL PHD PROFESSIONAL LLC · (Female)

NPI Number 1407094469
Status Active
Credentials
Entity Individual
Enumeration date 01/29/2009
Last updated 03/13/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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