Healthcare Provider Details

I. General information

NPI: 1194864082
Provider Name (Legal Business Name): DANIEL LOUIS WOOD PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 WHITE BRIDGE RD SUITE 415
NASHVILLE TN
37205-1497
US

IV. Provider business mailing address

95 WHITE BRIDGE RD SUITE 415
NASHVILLE TN
37205-1497
US

V. Phone/Fax

Practice location:
  • Phone: 615-356-5105
  • Fax: 615-353-1073
Mailing address:
  • Phone: 615-356-5105
  • Fax: 615-353-1073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1929
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: