DR. Gordon R Dodge, PHD

NPI #1902026131 in Center City, Minnesota

Provider Information

NPI Number: 1902026131
Entity Type: Individual
Name: DR. Gordon R Dodge, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Apr 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 204 SUMMIT AVE
City: Center City
State: Minnesota
ZIP Code: 55012
Phone: (651) 303-2355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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