Healthcare Provider Details

I. General information

NPI: 1841784857
Provider Name (Legal Business Name): MS. MEGAN WOODS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 09/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 W CHESTER RD STE C
WEST CHESTER OH
45069
US

IV. Provider business mailing address

5900 W CHESTER RD STE C
WEST CHESTER OH
45069-2951
US

V. Phone/Fax

Practice location:
  • Phone: 513-777-2428
  • Fax: 513-777-0017
Mailing address:
  • Phone: 513-777-2428
  • Fax: 513-777-0017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: