NPI Profile for THOMAS M DODGE in FRAMINGHAM, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Child & Family |
364SP0810X | 89 | Certified Clinical Nurse Specialist | |
Athletic Trainer |
2255A2300X | |||
Psychiatric/Mental Health |
163WP0808X |
| NPI # | 1164767471 |
|
| Status | Active | |
| Credentials | PMHNP-BC (Adult Psychiatric-Mental Health Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 11/28/2012 | |
| Last updated | 10/26/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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THOMAS M DODGE
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