Individual
DR. SEAN DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
211 NW LARCH AVE, REDMOND, OR 97756-1357
(541) 548-2164
(541) 548-0534
Mailing address
1900 NE 3RD ST STE 1061019, BEND, OR 97701-3894
(775) 297-8855
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2871
OR
103TC0700X
Clinical Psychologist
PY0624
NV
Other
Enumeration date
09/03/2008
Last updated
04/02/2024
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