Provider Demographics
NPI:1730326513
Name:WOOD, ANDREW W (MA)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:W
Last Name:WOOD
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1000 E 3RD ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2106
Mailing Address - Country:US
Mailing Address - Phone:423-622-0500
Mailing Address - Fax:423-622-0564
Practice Address - Street 1:1000 E 3RD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2106
Practice Address - Country:US
Practice Address - Phone:423-622-0500
Practice Address - Fax:423-622-0564
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN627103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst