Woodley, Charles L

Woodley, Charles L is an sole proprietor health care provider with primary practice located at 7112 Eagle Dr , Montgomery AL 36116-6012. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Woodley, Charles L can be contacted via phone (334) 280-0114.

Contact Information

Primary practice address
7112 Eagle Dr Montgomery AL 36116-6012
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 808 Alabama

Profile Details

NPI number 1760491591
LBN Legal business name Woodley, Charles L
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Oct 8th, 2009 - about 15 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 1760491591 NPPES
Alabama MEDICAID 051555469WOO

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