Bodison, Preston Robert

Bodison, Preston Robert is an individual health care provider with primary practice located at 1707 Stone Ivy Pl , Bel Air MD 21015-5717. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is his primary health care specialty. Bodison, Preston Robert can be contacted via phone (443) 413-5847.

Contact Information

Primary practice address
1707 Stone Ivy Pl Bel Air MD 21015-5717
Phone: (443) 413-5847
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 06745 Maryland
Behavioral Health & Social Service Providers / School 103TS0200X 06745 Maryland

Profile Details

NPI number 1154021814
LBN Legal business name Bodison, Preston Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2023
Last updated Mar 9th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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