Individual
DR. TIMOTHY DEAN DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
18975 W 115TH TER, OLATHE, KS 66061-6542
(913) 232-6861
Mailing address
18975 W 115TH TER, OLATHE, KS 66061-6542
(913) 232-6861
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1256
KS
103T00000X
Psychologist
Primary
2002011102
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493776314
—
MO
Enumeration date
06/24/2008
Last updated
09/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us