| Renee A Woodall Phd Professional Llc | |
|
2629 Redwing Rd Ste 316 Fort Collins CO 80526-2879 | |
| (970) 556-5836 | |
| (970) 837-3352 |
| Full Name | Renee A Woodall Phd Professional Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2629 Redwing Rd Ste 316, Fort Collins, Colorado |
| Authorized Official Name and Position | Renee Andrade Woodall (OWNER AND LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9705565836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renee A Woodall Phd Professional Llc 2629 Redwing Rd Ste 316 Fort Collins CO 80526-2879 Ph: (970) 556-5836 | Renee A Woodall Phd Professional Llc 2629 Redwing Rd Ste 316 Fort Collins CO 80526-2879 Ph: (970) 556-5836 |
| NPI Number | 1407094469 |
|---|---|
| Provider Enumeration Date | 01/29/2009 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Medicare PECOS PAC ID | 1153643655 |
|---|---|
| Medicare Enrollment ID | O20141212000817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407094469 | NPI | - | NPPES |
| Provider Name | Renee Andrade Woodall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780899609 PECOS PAC ID: 5597892810 Enrollment ID: I20100419000538 |
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