Wodrich, David L

Wodrich, David L is an individual health care provider with primary practice located at 1919 E Thomas Rd Bldg B, Phoenix AZ 85016-7710. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Wodrich, David L can be contacted via phone (602) 546-0486.

Contact Information

Primary practice address
1919 E Thomas Rd Bldg B Phoenix AZ 85016-7710
Phone: (602) 546-0486
Fax: (602) 546-1631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 445 Arizona

Profile Details

NPI number 1629037429
LBN Legal business name Wodrich, David L
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629037429 NPPES
Arizona MEDICAID 730714

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