Individual
TIM R. HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
519 GROVE STREET, BALDWIN CITY, KS 66006-0065
(785) 594-8365
(785) 594-8314
Mailing address
PO BOX 65, BAKER UNIVERSITY, BALDWIN CITY, KS 66006-0065
(785) 594-8365
(785) 594-8314
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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