Cynthia A Dodge in Peoria - Clinical Child & Adolescent

Cynthia A Dodge - NPI 1689746653

Cynthia A Dodge is a Clinical Child & Adolescent in Peoria, Arizona. Cynthia A Dodge practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Cynthia A Dodge is 1689746653. The last update date is 2021-10-26.

Cynthia A Dodge's current location address is 25827 N 122nd Ln, Peoria, Arizona. You can contact this provider via phone number 9288638431. The mailing address for Cynthia A Dodge is 25827 N 122nd Ln, Peoria, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Cynthia A Dodge
Address 25827 N 122nd Ln, Peoria, Arizona
Phone Number 9288638431
Fax Number
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1689746653
Provider Enumeration Date 2006-11-15
Last Updated Date 2021-10-26

Provider Mailing Address Detail

Address 25827 N 122nd Ln
City Peoria
State Arizona (AZ)
Post Code 853835814
Phone Number 9288638431
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No LC4083
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
194420299 ME --
RB9 ME ANTHEM

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FAQs about Cynthia A Dodge

What is the unique 10-digit identification code assigned to Cynthia A Dodge by the Centers for Medicare & Medicaid Services?

The Cynthia A Dodge has been issued the NPI (National Provider Identifier) 1689746653, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Cynthia A Dodge is geographically located?

The Cynthia A Dodge is physically situated at the following location: 25827 N 122Nd Ln, Peoria, AZ, 853835814.

What is Cynthia A Dodge's specialized field of practice, and what is the corresponding taxonomy classification code?

The Cynthia A Dodge's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.

When did Cynthia A Dodge receive its 1689746653 assignment?

The Cynthia A Dodge was assigned its 1689746653 on 2006-11-15, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Cynthia A Dodge, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Cynthia A Dodge, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-10-26.

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