MEDICARE: DR. AMY H WOODS PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	35SI00451800	NJ
2	103TC1900X	Counseling Psychologist	35SI00451800	NJ
3	103TC2200X	Clinical Child & Adolescent Psychologist	35SI00451800	NJ
4	103TF0000X	Family Psychologist	35SI00451800	NJ

General Provider Information

NPI Number	:	1407079379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY H WOODS PSYD

Provider Business Mailing Address
First Line	:	50 PRINCETON HIGHTSTOWN RD, SUITE 205
Second Line	:
City	:	PRINCETON JUNCTION
State	:	NJ
Zip	:	08540-3211
Country	:	US
Telephone Number	:	917-566-7687
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 PRINCETON HIGHTSTOWN RD STE 205
Second Line	:
City	:	PRINCETON JUNCTION
State	:	NJ
Zip	:	08550-1107
Country	:	US
Telephone Number	:	917-566-7687
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	12/17/2015

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