Dodge, Cynthia A
Dodge, Cynthia A is an individual health care provider with primary practice located at 25827 N 122Nd Ln , Peoria AZ 85383-5814. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Dodge, Cynthia A can be contacted via phone (928) 863-8431.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | LC4083 | Maine |
Profile Details
| NPI number | 1689746653 |
|---|---|
| LBN Legal business name | Dodge, Cynthia A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Oct 26th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689746653 | NPPES |
| Maine | MEDICAID | 194420299 | |
| Maine | Other | RB9 |
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