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:
Health care specialties
Specialty | Code | License # | 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 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629037429 | NPPES |
Arizona | MEDICAID | 730714 |
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