Individual
DR. JODI L DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 PATEWOOD DR, SUITE A200, GREENVILLE, SC 29615-3593
(864) 454-5115
Mailing address
14 EDGEWOOD DR, GREENVILLE, SC 29605-4246
(864) 678-7897
(864) 250-9582
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
807
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0343
—
SC
Enumeration date
06/01/2006
Last updated
04/06/2015
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