DIANA L WOODRUFF PHD
NPI 1063582385
Counselor - Professional in Norcross, GA
- Individual
- Female
- Counselor
- Professional
About DIANA WOODRUFF
This page provides the complete NPI Profile along with additional information for Diana Woodruff, a provider established in Norcross, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1063582385 assigned on November 2006. The practitioner's primary taxonomy code is 101YP2500X with license number 1458 (GA). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1063582385 Verify this NPI
- Provider Name
- DIANA L WOODRUFF PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4530 SOUTH BERKELEY LAKE RD SUITE B NORCROSS, GA 30071
- Location Phone
- (770) 446-5642
- Location Fax
- (770) 446-5643
- Mailing Address
- 4530 SOUTH BERKELEY LAKE RD SUITE B NORCROSS, GA 30071
- Mailing Phone
- (770) 446-5642
- Mailing Fax
- (770) 446-5643
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-08-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1458
- License State
- GA
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063582385, enumerated as an "individual" on November 08, 2006.
The provider is located at 4530 SOUTH BERKELEY LAKE RD SUITE B NORCROSS, GA 30071 and the phone number is (770) 446-5642.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
