Woodruff, George Raymond

Woodruff, George Raymond is an sole proprietor health care provider with primary practice located at 3030 N Highway 81 , Anderson SC 29621-3620. He recently has 5 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 Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Woodruff, George Raymond can be contacted via phone (864) 222-0019.

Contact Information

Primary practice address
3030 N Highway 81 Anderson SC 29621-3620
Phone: (864) 222-0019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 792 South Carolina
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 792 South Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 792 South Carolina
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 792 South Carolina
Behavioral Health & Social Service Providers / Family 103TF0000X 792 South Carolina

Profile Details

NPI number 1215989967
LBN Legal business name Woodruff, George Raymond
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Mar 24th, 2017 - about 7 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 1215989967 NPPES
South Carolina MEDICAID PS0317

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