Organization
DR DODGE & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY D DODGE PH.D. (OWNER)
(913) 232-6861
Entity
Organization
Contact information
Practice address
18975 W 115TH TER, OLATHE, KS 66061-6542
(913) 232-6861
Mailing address
18975 W 115TH TER, OLATHE, KS 66061-6542
(913) 232-6861
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1256
KS
Other
Enumeration date
12/09/2008
Last updated
09/05/2012
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