Dodge, Justine
Dodge, Justine is an individual health care provider with primary practice located at 402 Pruitt Ave , Los Alamos NM 87547-3627. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dodge, Justine can be contacted via phone (505) 933-4336.Contact Information
Primary practice address
402 Pruitt Ave
Los Alamos NM 87547-3627
Phone: (505) 933-4336
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 5085 | New Mexico |
Profile Details
| NPI number | 1568006161 |
|---|---|
| LBN Legal business name | Dodge, Justine |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2019 |
| Last updated | Nov 6th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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