STEPHANIE A DODGE

Dr STEPHANIE A DODGE is a female medical professional, specializing in Psychologist, Clinical. She graduated in 2010.

Contact

56 WAIANUENUE AVE
HILO
HI
967202474

Tel: 8087473445

STEPHANIE A DODGE Information

Npi 1942569629
Pac Id 5092979666
Professional Enrollment Id I20120611000509
Last Name DODGE
First Name STEPHANIE
Middle Name A
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 56 WAIANUENUE AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HILO
State HI
Zip Code 967202474
Phone Number 8087473445
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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