DR. G. MARTIN WOODARD PH.D. NPI 1881749539

NPI Information

NPI: 1881749539
Provider Name: DR. G. MARTIN WOODARD, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
2711 BREEZEWOOD AVE
SUITE A - 5
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 703-8551
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DR. G. Martin Woodard, PH.D. is a clinical neuropsychologist in Fayetteville, NC. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. G. Martin Woodard, PH.D. NPI is 1881749539. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2711 BREEZEWOOD AVE
SUITE A - 5
FAYETTEVILLE, NC
ZIP 28303-504
Phone: (910) 703-8551
Fax: (910) 703-8551

The enumeration date for this NPI number is 1/24/2007 and was last updated on 7/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		012695	NEW YORK	No
2	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	012695	NEW YORK	No
3	103TA0700X	Psychologist	Adult Development & Aging	012695	NEW YORK	No
4	103TC0700X	Psychologist	Clinical	012695	NEW YORK	No
5	103TC2200X	Psychologist	Clinical Child & Adolescent	012695	NEW YORK	No
6	103TF0200X	Psychologist	Forensic	012695	NEW YORK	No
7	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	3635	NORTH CAROLINA	No
8	103TA0700X	Psychologist	Adult Development & Aging	3635	NORTH CAROLINA	No
9	103TC0700X	Psychologist	Clinical	3635	NORTH CAROLINA	No
10	103TF0200X	Psychologist	Forensic	3635	NORTH CAROLINA	No
11	106H00000X	Marriage & Family Therapist		3635	NORTH CAROLINA	No
12	103TP0814X	Psychologist	Psychoanalysis	3635	NORTH CAROLINA	No
13	103G00000X	Clinical Neuropsychologist		3635	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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