Woog, Kenneth Mark

Woog, Kenneth Mark is an sole proprietor health care provider with primary practice located at 23591 El Toro Rd Suite 104, Lake Forest CA 92630-4774. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Woog, Kenneth Mark can be contacted via phone (949) 422-4120.

Contact Information

Primary practice address
23591 El Toro Rd Suite 104 Lake Forest CA 92630-4774
Phone: (949) 422-4120
Fax: (949) 296-0398
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY20560 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY20560 California
Behavioral Health & Social Service Providers / Family 103TF0000X PSY20560 California

Profile Details

NPI number 1437223245
LBN Legal business name Woog, Kenneth Mark
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated May 19th, 2010 - about 14 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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