Mikaela Therise Woodward
Psychologist, School in Erie, CO. Individual provider (NPI-1).
NPI number1043001076
StatusActive
Last updated in NPPESMay 17, 2025
Details
- NPI
- 1043001076
- Entity type
- Individual (NPI-1)
- Name
- Mikaela Therise Woodward
- Sole proprietor
- No
- Enumeration date
- May 17, 2025
- Certification date
- May 17, 2025
- Last updated
- May 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | – | CO | Yes |
Practice location
168 Yellowfield WayErie, CO 80516-6817
Phone 720-969-8680
Mailing address
168 Yellowfield WayErie, CO 80516-6817
Phone 720-969-8680
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