Individual
DR. CHARLES EUGENE DODGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
526 BLOOMFIELD AVE, CALDWELL, NJ 07006-5564
(973) 228-9988
(973) 228-5530
Mailing address
526 BLOOMFIELD AVE, CALDWELL, NJ 07006-5564
(973) 228-9988
(973) 228-5530
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2704
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5353700
—
NJ
Enumeration date
12/31/2006
Last updated
07/09/2007
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