Individual
DR. M REBECCA BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9002 FAIRMOUNT RD, NOVELTY, OH 44072-9777
(440) 338-1538
(440) 338-1538
Mailing address
9002 FAIRMOUNT RD, NOVELTY, OH 44072-9777
(440) 338-1538
(440) 338-1538
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4330
OH
103TB0200X
Cognitive & Behavioral Psychologist
4330
OH
103TC2200X
Clinical Child & Adolescent Psychologist
4330
OH
103TE1100X
Exercise & Sports Psychologist
4330
OH
103TM1800X
Intellectual & Developmental Disabilities Psychologist
4330
OH
103TS0200X
School Psychologist
Primary
4330
OH
Other
Enumeration date
03/02/2007
Last updated
09/11/2025
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