Individual
DR. JONATHAN NOEL DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
55 WHITCHER ST NE STE 420, MARIETTA, GA 30060
(770) 514-6760
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2012032669
MO
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
10/31/2019
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