Dodge, Stephanie Ann

Dodge, Stephanie Ann is an sole proprietor health care provider with primary practice located at 56 Waianuenue Avenue , Hilo HI 96720. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Dodge, Stephanie Ann can be contacted via phone (808) 747-3445.

Contact Information

Primary practice address
56 Waianuenue Avenue Hilo HI 96720
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY1318 Hawaii

Profile Details

NPI number 1942569629
LBN Legal business name Dodge, Stephanie Ann
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2012
Last updated May 15th, 2012 - about 13 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 1942569629 NPPES
Other 000000000000 I DON'T HAVE ANOTHER IDENTIFICATION NUMBER

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