Healthcare Provider Details

I. General information

NPI: 1033401781
Provider Name (Legal Business Name): KAMILAH MARIE WOODSON PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2011
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOWARD UNIVERSITY SCHOOL OF EDUCATION 2441 4TH STREET, NW
WASHINGTON DC
20059-0001
US

IV. Provider business mailing address

2441 4TH STREET, NW HOWARD UNIVERSITY SCHOOL OF EDUCATION
WASHINGTON DC
20059
US

V. Phone/Fax

Practice location:
  • Phone: 202-806-7350
  • Fax:
Mailing address:
  • Phone: 202-806-7350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number1000346
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1000346
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: