MALCOLM HORACE WOODLAND


Address: 1815 N Capitol St Ne, Washington, DC 20002-1535
Phone: 3025409895

MALCOLM HORACE WOODLAND (NPI# 1083211130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083211130
Entity Type Individual
Full Name MALCOLM HORACE WOODLAND
Practice Address 1815 N Capitol St Ne
Washington
DC 20002-1535
Practice Telephone 3025409895
Mailing Telephone 3025409895
Enumeration Date 2020-10-01
Last Update Date 2020-10-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY1000615 DC Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
PSY1000615 DC Behavioral Health & Social Service Providers

Office Location

Street Address 1815 N CAPITOL ST NE
City WASHINGTON
State DC
Zip Code 20002-1535

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 20002

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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