| Guy Carrere Woodruff, PHD | |
|
6 Humphreys Ave, Pennsville, NJ 08070 | |
| (856) 678-6954 | |
| (856) 678-4458 |
| Full Name | Guy Carrere Woodruff |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 6 Humphreys Ave, Pennsville, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346460516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | SI01970 (New Jersey) | Primary |
| 103TC0700X | Psychologist - Clinical | PS004123L (Pennsylvania) | Secondary |
| Entity Name | Pennsville Counseling Associates, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376756577 PECOS PAC ID: 3971567355 Enrollment ID: O20041117000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Guy Carrere Woodruff, PHD 6 Humphreys Ave, Pennsville, NJ 08070 Ph: (856) 678-6954 | Guy Carrere Woodruff, PHD 6 Humphreys Ave, Pennsville, NJ 08070 Ph: (856) 678-6954 |
Dr. Alicia Denise Macintire-cain, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6 Humphreys Ave, Pennsville, NJ 08070 Phone: 856-678-6954 Fax: 856-678-4458 | |
Dr. Rebecca Landes Whitten, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6 Humphreys Ave, Pennsville, NJ 08070 Phone: 856-678-6954 | |
Rebecca Olejniczak, PSY.D., M.B.A. Psychologist Medicare: Medicare Enrolled Practice Location: 6 Humphreys Ave, Pennsville, NJ 08070 Phone: 856-678-6954 Fax: 856-678-4458 |