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Individual

DR. TIMOTHY JOSEPH HODGENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
18 LYMAN STREET, SUITE S, WESTBOROUGH, MA 01581-1433
(508) 836-9595
(508) 836-9898
Mailing address
18 LYMAN STREET, SUITE S, WESTBOROUGH, MA 01581-1433
(508) 836-9595
(508) 836-9898

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1020
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1020
MA
103TA0700X
Adult Development & Aging Psychologist
1020
MA
103TB0200X
Cognitive & Behavioral Psychologist
1020
MA
103TC0700X
Clinical Psychologist
Primary
1020
MA
103TC2200X
Clinical Child & Adolescent Psychologist
1020
MA
103TF0000X
Family Psychologist
1020
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0523178
MA
01
1020
PSYCHOLOGY LICENSE NUMBER
MA
Enumeration date
12/20/2006
Last updated
11/20/2015
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