Individual
DR. ELAINE ARENA HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
211 GROVE AVE, PRESCOTT, AZ 86301-5737
(928) 848-0666
(928) 717-0064
Mailing address
606 HUMMINGBIRD WAY, PRESCOTT, AZ 86301-5737
(928) 717-0064
(928) 717-0064
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3531
AZ
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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