Dr. Deborah Jane Woodford
Clinical Psychologist
675 Massachusetts Ave
Cambridge
, Massachusetts 02139-3309
Dr. Deborah Jane Woodford
Clinical Psychologist
675 Massachusetts Ave
Cambridge
, Massachusetts 02139-3309
(617) 864-8586
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Deborah Jane Woodford
- 675 Massachusetts Ave
- Cambridge, MA
- Zip : 02139-3309
- Fax : (617) 864-8586
- Phone : (617) 491-1269
Second Address
- Dr. Deborah Jane Woodford
- 675 Massachusetts Ave
- Cambridge, MA
- Zip : 02139-3309
- Fax : (617) 864-8586
- Phone : (617) 491-1269
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 4173 | MA |
| Y | 103TC0700X | Clinical Psychologist | 4173 | MA |
National Provider Identifier
| NPI | 1013003011 |
|---|---|
| Provider Name | Dr. Deborah Jane Woodford |
| First Address | Cambridge, MA 02139-3309 |
| Second Address | Cambridge, MA 02139-3309 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0518085 | (05) | MA |
| W04360 | BLUE CROSS/BLUE SHIELD (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.