Individual
ANTHONY R DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9150 HUEBNER RD, STE. 210, SAN ANTONIO, TX 78240-1558
(210) 341-2201
(210) 641-2099
Mailing address
9150 HUEBNER RD, STE. 210, SAN ANTONIO, TX 78240-1558
(210) 341-2201
(210) 641-2099
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24841
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24841
NO. USED FOR COMMERCIAL
TX
05
—
POOOL41A2
—
TX
Enumeration date
02/16/2007
Last updated
07/09/2007
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