Individual
TARRIUS HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 VINCENT CT, BEAR, DE 19701-1334
(302) 440-9382
Mailing address
7 VINCENT CT, BEAR, DE 19701-1334
(302) 440-9382
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250083817
—
DE
Enumeration date
10/15/2020
Last updated
10/15/2020
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