Cynthia E Dodge, PSY.D
Individual provider Active NPI Clinical Psychologist · Hornell, NY
NPI 1508896580 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508896580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 015861-1 (NY)
- Practice address
- 2 Bethesda Dr
Suite # 4
Hornell, NY 14843-1018 - Phone
- (607) 324-9240
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015861-1 | NY | MD | Physical Therapist |
| 015861 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Past | Accepting new patients | |
| Milestone Psychiatric & Psychological Services P C | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 015861-1 | NY | Yes |
Addresses
Primary practice location
2 Bethesda Dr
Suite # 4
Hornell, NY 14843-1018
Mailing address
2 Bethesda Dr
Suite # 4
Hornell, NY 14843-1018
Phone (607) 324-9240
Other providers in Hornell, NY
- Mary Louise Davis
- Mackenzie Decarlo
- Laura Demarco
- Amelia L. Derusha
- Alison Dockstader
- Daisy Doherty
- Jamie Lynn Doll
- Christopher Donegan
- Kathryn Meghan Donohue
- Patrick Dunn
All providers in Hornell, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.