Individual
DR. PRESTON ROBERT BODISON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1707 STONE IVY PL, BEL AIR, MD 21015-5717
(443) 413-5847
Mailing address
1707 STONE IVY PL, BEL AIR, MD 21015-5717
(443) 413-5847
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
06745
MD
103TS0200X
School Psychologist
Primary
06745
MD
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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