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DR MICHEL A WOODBURY PSC NPI 1215343777


NPI Information

NPI: 1215343777
Provider Name: DR MICHEL A WOODBURY, PSC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
307 CALLE ELEONOR ROOSEVELT
SAN JUAN, PR
ZIP 00918
Phone: (787) 754-0872
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DR MICHEL A WOODBURY, PSC is an adolescent and children mental health clinic center in San Juan, PR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. DR MICHEL A WOODBURY, PSC NPI is 1215343777. The provider is registered as an organization entity type.

The provider's business location address is:

307 CALLE ELEONOR ROOSEVELT
SAN JUAN, PR
ZIP 00918-720
Phone: (787) 754-0872
Fax: (787) 758-9690

The provider's authorized official is Michel A. Woodbury .
The authorized official title is President and has the following contact phone number (787) 226-1899.

The enumeration date for this NPI number is 7/5/2014 and was last updated on 7/5/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental Health6363PUERTO RICONo
2261QM0855XClinic/CenterAdolescent and Children Mental Health6363PUERTO RICOYes

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

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