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NPI Code Detail

MEDICARE: KATHRYN ROSE WOOD

MEDICARE: KATHRYN ROSE WOOD
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
1225C00000XRehabilitation Counselor405805LA
2101YM0800XMental Health Counselor
3225A00000XMusic Therapist09750LA
4101YP2500XProfessional Counselor5001TN

General Provider Information

NPI Number : 1528665148
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN ROSE WOOD
Provider Business Mailing Address
First Line : 100 POWELL PL # 1095
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-3622
Country : US
Telephone Number : 615-829-6496
Fax Number :
Provider Business Practice Location Address
First Line : 100 POWELL PL # 1095
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-3622
Country : US
Telephone Number : 615-829-6496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2020
Last Update Date : 09/13/2024

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Directions to “ KATHRYN ROSE WOOD ” Practice Location

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