Provider Demographics
NPI:1023283454
Name:WOOD, BARRY STEVEN (PHD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:STEVEN
Last Name:WOOD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2042 BELTLINE RD SW
Mailing Address - Street 2:BUILDING B, SUITE 103
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-5599
Mailing Address - Country:US
Mailing Address - Phone:256-350-0952
Mailing Address - Fax:256-350-0976
Practice Address - Street 1:2042 BELTLINE RD SW
Practice Address - Street 2:BUILDING B, SUITE 103
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-5599
Practice Address - Country:US
Practice Address - Phone:256-350-0952
Practice Address - Fax:256-350-0976
Is Sole Proprietor?:No
Enumeration Date:2008-04-27
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL996103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical