Organization
CHARLES E. DODGEN, PH.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E. DODGEN PH.D. (PSYCHOLOGIST)
(973) 514-1774
Entity
Organization
Contact information
Practice address
526 BLOOMFIELD AVE, CALDWELL, NJ 07006-5564
(973) 514-1774
(973) 228-5530
Mailing address
526 BLOOMFIELD AVE, CALDWELL, NJ 07006-5564
(973) 514-1774
(973) 228-5530
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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