Wood, Mary Robin
Wood, Mary Robin is an sole proprietor health care provider with primary practice located at 227 N Dixie Way Ste 335, South Bend IN 46637-3385. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wood, Mary Robin can be contacted via phone (574) 220-1298.Contact Information
Primary practice address
227 N Dixie Way Ste 335
South Bend IN 46637-3385
Phone: (574) 220-1298
Fax: (574) 472-1282
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 39001959A | Indiana |
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 20042170A | Indiana |
Profile Details
NPI number | 1386814051 |
---|---|
LBN Legal business name | Wood, Mary Robin |
Credentials | PH.D., L.M.H.C. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 9th, 2008 |
Last updated | Nov 30th, 2016 - about 8 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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