Rebecca Ann Dodge in Sonora - Exercise & Sports

Rebecca Ann Dodge - NPI 1033326699

Rebecca Ann Dodge is a Exercise & Sports in Sonora, California. Rebecca Ann Dodge practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Rebecca Ann Dodge is 1033326699. The last update date is 2019-05-13.

Rebecca Ann Dodge's current location address is 86 South Steward Street, Sonora, California. You can contact this provider via phone number 2095325132 and fax number 2095321348. The mailing address for Rebecca Ann Dodge is 86 South Steward Street, Sonora, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Rebecca Ann Dodge
Address 86 South Steward Street, Sonora, California
Phone Number 2095325132
Fax Number 2095321348
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1033326699
Provider Enumeration Date 2007-05-16
Last Updated Date 2019-05-13

Provider Mailing Address Detail

Address 86 South Steward Street
City Sonora
State California (CA)
Post Code 953704771
Phone Number 2095325132
Fax Number 2095321348

Provider's Primary Taxonomy Detail

Speciality Exercise & Sports
Taxonomy 103Te1100X
Licence No 2520
Definition:
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated wi

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FAQs about Rebecca Ann Dodge

What is the Rebecca Ann Dodge's 1033326699?

The Rebecca Ann Dodge's NPI (National Provider Identifier) Number is 1033326699. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Rebecca Ann Dodge is located?

The Rebecca Ann Dodge is situated at the following address: 86 South Steward Street, Sonora, CA, 953704771.

What is Rebecca Ann Dodge's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Rebecca Ann Dodge's specialized field of practice is Exercise & Sports, and the corresponding taxonomy code that categorizes this area of specialization is 103Te1100X.

On what date did the Rebecca Ann Dodge receive the assignment of its 1033326699 from the Centers for Medicare & Medicaid Services?

The Rebecca Ann Dodge was issued its 1033326699 by the Centers for Medicare & Medicaid Services on 2007-05-16.

As of what date were the details related to Rebecca Ann Dodge most recently updated or revised?

The information pertaining to Rebecca Ann Dodge, including its address, specialty, and other relevant details, was last updated or revised on 2019-05-13.

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