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Provider Information for 1063678316



TRACY LEIGH WOOD M.ED., LMFT

Gender: FEMALE

Individual NPI: 1063678316

Calendar   Last Updated:  2013-11-20
  Certification Date: 

Details

Name Value
NPI 1063678316
Enumeration Date 2008-08-05
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address ONE STATION CIRCLE SUITE TWO
NARBERTH, PA 19072
United States

Phone: 215-429-1876 | Fax:
View Map External Link
Primary Practice Address ONE STATION CIRCLE SUITE TWO
NARBERTH, PA 19072
United States

Phone: 215-429-1876 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 106H00000X - Marriage & Family Therapist PA MF000482