Dodd, Jodi L

Dodd, Jodi L is an individual health care provider with primary practice located at 200 Patewood Dr Suite A200, Greenville SC 29615-3593. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Dodd, Jodi L can be contacted via phone (864) 454-5115.

Contact Information

Primary practice address
200 Patewood Dr Suite A200 Greenville SC 29615-3593
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 807 South Carolina

Profile Details

NPI number 1942247812
LBN Legal business name Dodd, Jodi L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Apr 6th, 2015 - about 9 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1942247812 NPPES
South Carolina MEDICAID PS0343

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