Healthcare Provider Details

I. General information

NPI: 1912602871
Provider Name (Legal Business Name): SAVANNAH ASLEE WOODS MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2023
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 HYDE ST
SAN FRANCISCO CA
94109-5996
US

IV. Provider business mailing address

815 HYDE ST
SAN FRANCISCO CA
94109-5996
US

V. Phone/Fax

Practice location:
  • Phone: 415-847-3945
  • Fax: 415-673-5700
Mailing address:
  • Phone: 415-847-3945
  • Fax: 415-673-5700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number94029803
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: