National Provider Identifier Database

TANIA LODGE, PHD, PCC-S – NPI #1437315520
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

TANIA LODGE, PHD, PCC-S
3618 W MARKET ST STE 15
FAIRLAWN, OH44333-2425
Phone: 234-466-0445
Fax: 234-466-0359
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Mental Health 101YM0800X

* Indicates primary specialty

NPI Profile & details for TANIA LODGE

NPI Number 1437315520
Credentials PHD, PCC-S
Entity Individual
Enumeration date 07/29/2008
Last updated 04/16/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • OH License #: E.0500437
  • OH License #: P.08616
  • OH Medicaid: 0214582
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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