Healthcare Provider Details

I. General information

NPI: 1598804429
Provider Name (Legal Business Name): PATRICIA WOODS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1062 LANCASTER AVENUE SUITE 26-A
BRYN MAWR PA
19010
US

IV. Provider business mailing address

1062 LANCASTER AVENUE SUITE 26-A
BRYN MAWR PA
19010
US

V. Phone/Fax

Practice location:
  • Phone: 215-316-9153
  • Fax:
Mailing address:
  • Phone: 215-316-9153
  • Fax: 978-251-8082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC009134
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number4375
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: