Organization
CAROLE J RODON, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLE J RODON PHD (PSYCHOLOGIST)
(573) 442-4161
Entity
Organization
Contact information
Practice address
2501B W ASH ST, COLUMBIA, MO 65203-4609
(573) 442-4161
Mailing address
2501B W ASH ST, COLUMBIA, MO 65203-4609
(573) 442-4161
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY01536
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074664
VALUE OPTIONS
MO
01
—
1088760
FIRST HEALTH
MO
01
—
109489
ANTHEM BLUE CROSS BLUE SHIELD
MO
01
—
61-43032
UNITED HEALTHCARE
MO
Enumeration date
11/11/2008
Last updated
11/11/2008
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