DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELISSA WOODRUFF, PH.D.

Active Sole Proprietor

DR. ELISSA WOODRUFF, PH.D. is a Health Maintenance Organization healthcare provider located in SAN RAFAEL, California. NPI 1447663133 is currently active in the NPPES registry. Verify at CMS.

Health Maintenance Organization · SAN RAFAEL, CA

Registration Details

NPI Number
1447663133
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2014 (12.210906920154 yrs)
Last Updated
Jun 10, 2014
License
PSY26236 (CA)
Sole Proprietor
Yes

Practice Information

Address
820 LAS GALLINAS AVE
SAN RAFAEL, CA, 949033410
Browse CA providers · Browse ZIP 94903
Phone
4154913013
Primary Specialty
Health Maintenance Organization
302R00000X

Other Health Maintenance Organization Providers in SAN RAFAEL, CA

Name Credential NPI
DR. ESTOL TAYLOR CARTE JR. MD 1285815977
DR. MARK NEAL SABERMAN M.D. 1134466717
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.