GEORGE RAYMOND WOODRUFF PHD
Clinical Neuropsychologist
Anderson, South Carolina
Provider NPI: 1215989967
Provider Information:GEORGE RAYMOND WOODRUFF PHD
Gender: M
Sole Proprietor
Practice Location:
3030 N HIGHWAY 81 ANDERSON, SC 29621 US
Tel: 864-222-0019 Fax: --
Business Mailing Address:
3030 N HIGHWAY 81 ANDERSON, SC 29621 US
Tel: 864-222-0019 Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | SC | 792 |
N | 103TB0200X | Behavioral Health & Social Service Providers Psychologist | SC | 792 |
Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | SC | 792 |
N | 103TC2200X | Behavioral Health & Social Service Providers Psychologist | SC | 792 |
N | 103TF0000X | Behavioral Health & Social Service Providers Psychologist | SC | 792 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PS0317 | SC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin