Timothy Dean Dodge in Olathe - Psychologist

Timothy Dean Dodge - NPI 1598926362

Timothy Dean Dodge is a Psychologist in Olathe, Kansas. Timothy Dean Dodge practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Timothy Dean Dodge is 1598926362. The last update date is 2012-09-05.

Timothy Dean Dodge's current location address is 18975 W 115th Ter, Olathe, Kansas. You can contact this provider via phone number 9132326861. The mailing address for Timothy Dean Dodge is 18975 W 115th Ter, Olathe, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Dean Dodge
Address 18975 W 115th Ter, Olathe, Kansas
Phone Number 9132326861
Fax Number
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1598926362
Provider Enumeration Date 2008-06-24
Last Updated Date 2012-09-05

Provider Mailing Address Detail

Address 18975 W 115th Ter
City Olathe
State Kansas (KS)
Post Code 660616542
Phone Number 9132326861
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 2002011102
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
493776314 MO --

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FAQs about Timothy Dean Dodge

What is the Timothy Dean Dodge's unique identification number?

The Timothy Dean Dodge has been assigned the NPI (National Provider Identifier) Number 1598926362 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Timothy Dean Dodge is physically located?

The Timothy Dean Dodge is situated at the following address: 18975 W 115Th Ter, Olathe, KS 660616542.

What is the Timothy Dean Dodge's area of specialization and corresponding taxonomy classification?

The Timothy Dean Dodge's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.

On what date did the Timothy Dean Dodge receive its 1598926362 assignment from the Centers for Medicare & Medicaid Services?

The Timothy Dean Dodge was assigned its 1598926362 by the Centers for Medicare & Medicaid Services on 2008-06-24.

As of what date were the Timothy Dean Dodge's details last updated?

The information pertaining to the Timothy Dean Dodge, including its address, specialty, and other details, was most recently updated on 2012-09-05.

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