| Dr. James M. Dodson | |
|
298 Warfield Blvd Suite B Clarksville TN 37043-1828 | |
| (931) 494-7131 | |
| (888) 643-6070 |
| Full Name | Dr. James M. Dodson |
|---|---|
| Speciality | Psychologist |
| Location | 298 Warfield Blvd, Clarksville, Tennessee |
| Authorized Official Name and Position | Demetrice Rena Mitchell (OFFICE MANAGER) |
| Authorized Official Contact | 9314947131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. James M. Dodson 298 Warfield Blvd Suite B Clarksville TN 37043-1828 Ph: (931) 494-7131 | Dr. James M. Dodson 298 Warfield Blvd Suite B Clarksville TN 37043-1828 Ph: (931) 494-7131 |
| NPI Number | 1174965420 |
|---|---|
| Provider Enumeration Date | 07/26/2013 |
| Last Update Date | 09/16/2013 |
| Medicare PECOS PAC ID | 3870737703 |
|---|---|
| Medicare Enrollment ID | O20130916000583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174965420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1942 (Tennessee) | Primary |
| Provider Name | Terry L Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740337872 PECOS PAC ID: 5092617100 Enrollment ID: I20040121000112 |
| Provider Name | James M Dodson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508923129 PECOS PAC ID: 0749264265 Enrollment ID: I20100517000779 |
| Provider Name | William M Weathers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942510649 PECOS PAC ID: 6507082120 Enrollment ID: I20140716002617 |
| Provider Name | Leanne S Balmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629335120 PECOS PAC ID: 9436460474 Enrollment ID: I20150618000106 |
| Provider Name | Brenda Sheryl Arkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821428780 PECOS PAC ID: 5799112835 Enrollment ID: I20200302000354 |
| Provider Name | Diana K. Praete |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093306599 PECOS PAC ID: 9234544610 Enrollment ID: I20210217000624 |
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