Woodman, Rob

Woodman, Rob is an sole proprietor health care provider with primary practice located at 2655 Portage Bay E Suite 8, Davis CA 95616-3073. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Woodman, Rob can be contacted via phone (530) 902-1683.

Contact Information

Primary practice address
2655 Portage Bay E Suite 8 Davis CA 95616-3073
Phone: (530) 902-1683
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY13069 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY13069 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY13069 California

Profile Details

NPI number 1336130350
LBN Legal business name Woodman, Rob
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Feb 10th, 2012 - about 12 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 1336130350 NPPES
California MEDICAID PSY130690

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