Provider Demographics
NPI:1447057674
Name:WOODS, TYRA BELL (PSYD)
Entity type:Individual
Prefix:DR
First Name:TYRA
Middle Name:BELL
Last Name:WOODS
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 FIELDSTONE LN # U-100
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-5229
Mailing Address - Country:US
Mailing Address - Phone:252-916-9499
Mailing Address - Fax:
Practice Address - Street 1:1421 KRISTINA WAY
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-8917
Practice Address - Country:US
Practice Address - Phone:757-547-0153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAPPS-0608444103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool