| Dr Gordon R Dodge, PHD | |
|
204 Summit Ave, Center City, MN 55012 | |
| (651) 303-2355 | |
| (651) 464-5744 |
| Full Name | Dr Gordon R Dodge |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 204 Summit Ave, Center City, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902026131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP1221 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gordon R Dodge, PHD Po Box 485, Center City, MN 55012 Ph: (651) 303-2355 | Dr Gordon R Dodge, PHD 204 Summit Ave, Center City, MN 55012 Ph: (651) 303-2355 |
Janaka Eugene Hanvey, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15245 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4184 Fax: 651-213-4411 | |
Dorine Rosella Reiter, PSY.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 15245 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4184 Fax: 651-213-4411 | |
Irene D. Bugge, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15245 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4184 Fax: 651-213-4411 | |
Kabita Roy, PSYD RN Psychologist Medicare: May Accept Medicare Assignments Practice Location: 15251 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4184 | |
Lindsay Marie Paetznick, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15251 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4367 | |
Jeremy William Rondorf, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 15245 Pleasant Valley Rd, Center City, MN 55012 Phone: 651-213-4184 Fax: 651-213-4411 | |
Dr. Kent David Smallwood, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 15251 Pleasant Valley Rd # Co7, Center City, MN 55012 Phone: 651-213-4169 Fax: 651-213-4515 |