Gordon R Dodge is a Psychologist in Center City, Minnesota. Gordon R Dodge practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Gordon R Dodge is 1902026131. The last update date is 2007-07-08.
Gordon R Dodge's current location address is Po Box 485, Center City, Minnesota. You can contact this provider via phone number 6513032355 and fax number 6514645744. The mailing address for Gordon R Dodge is Po Box 485, Center City, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gordon R Dodge |
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Address | Po Box 485, Center City, Minnesota |
Phone Number | 6513032355 |
Fax Number | 6514645744 |
Sole Proprietor | N |
Credentials | PHD |
NPI Number Detail
NPI Number | 1902026131 |
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Provider Enumeration Date | 2007-04-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 485 |
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City | Center City |
State | Minnesota (MN) |
Post Code | 55012 |
Phone Number | 6513032355 |
Fax Number | 6514645744 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | LP1221 |
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identifier code issued to Gordon R Dodge by the Centers for Medicare & Medicaid Services (CMS)?
The Gordon R Dodge has been assigned the NPI (National Provider Identifier) 1902026131. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Gordon R Dodge located?
The Gordon R Dodge is located at Po Box 485, Center City, MN 55012.
What is Gordon R Dodge's area of expertise and its corresponding taxonomy classification?
The Gordon R Dodge's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902026131 to Gordon R Dodge?
The Centers for Medicare & Medicaid Services originally issued the 1902026131 to Gordon R Dodge on 2007-04-30.
As of what date were the details related to Gordon R Dodge most recently updated or revised?
The information pertaining to Gordon R Dodge, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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