Individual
TIM R. HODGES
Active
Individual
TIM R. HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
1778
KS
103TC0700X
Clinical Psychologist
Primary
1778
KS
103TP2701X
Group Psychotherapy Psychologist
1778
KS
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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