Dixie H Dodge Phd

LBN: Dixie H Dodge Phd Pc
Dixie H Dodge Phd is an health care organization with primary practice located at 219 East St Vrain , Colorado Springs CO 80903. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Dixie H Dodge Phd Pc can be contacted via phone (719) 636-2669, or through Dodge, Dixie H via phone (719) 636-2669.

Contact Information

Primary practice address
219 East St Vrain Colorado Springs CO 80903
Phone: (719) 636-2669
Fax: (719) 577-9656
Website:
Map and Directions
Authorized official contact:
Name: Dodge, Dixie H PHD PSYCHOLOGY
Phone: (719) 636-2669

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1171 Colorado

Profile Details

NPI number 1437285897
LBN Legal business name Dixie H Dodge Phd Pc
DBA Doing business as Dixie H Dodge Phd
Authorized official Dodge, Dixie H PHD PSYCHOLOGY
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Nov 26th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437285897 NPPES
Colorado Other 034211 MEDICADE
Colorado Other 80206 MEDICADE
Colorado Other 35197 MEDICADE
Colorado Other 10412365 MEDICADE

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