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General NPI Number Information
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NPI Number | 1255733200
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Entity Type | Individual
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Provider Name | MELISSA WOODS PSYD
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Gender | Female
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1100 WILFORD HALL LOOP BLDG 4554
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City | JBSA LACKLAND
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State | TX
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Zip | 78236-5638
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Country | US
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Telephone | 210-292-6255
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Fax | 210-292-7934
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Provider Business Mailing Address
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Address Line | 9325 SW 44TH TER
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City | OKLAHOMA CITY
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State | OK
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Zip | 73179-4016
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Country | US
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Telephone | 301-535-0207
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1453
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810008109
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License Number State | VA
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