Dr Gordon R Dodge, PHD - Psychologist in Center City, MN

Dr Gordon R Dodge, PHD is a Psychologist based in Center City, Minnesota. Dr Gordon R Dodge is licensed to practice in Minnesota (license number LP1221) and his current practice location is 204 Summit Ave, Center City, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 303-2355.

NPI number for Dr Gordon R Dodge is 1902026131 and his current mailing address is Po Box 485, Center City, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902026131.

Contact Information

Dr Gordon R Dodge, PHD
204 Summit Ave,
Center City, MN 55012
(651) 303-2355
(651) 464-5744

Map and Direction




Healthcare Provider's Profile

Full NameDr Gordon R Dodge
GenderMale
SpecialityPsychologist
Location204 Summit Ave, Center City, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902026131
  • Provider Enumeration Date: 04/30/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Gordon R Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902026131NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist LP1221 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gordon R Dodge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Psychologist in Center City, MN

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Dr. Kent David Smallwood, PH.D.
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Phone: 651-213-4169    Fax: 651-213-4515

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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