Claudia R Bodway, PHD
Individual provider Active NPI Psychologist · Fort Riley, KS
NPI 1609959162 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609959162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 800 (WI)
- Practice address
- 600 Caisson Hill Road
Attn: MCXX-CLD-QM (Credentials)
Fort Riley, KS 66442-5037 - Phone
- (785) 239-7208
- Fax
- (785) 239-7364
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 800 | WI | Yes |
Addresses
Primary practice location
600 Caisson Hill Road
Attn: MCXX-CLD-QM (Credentials)
Fort Riley, KS 66442-5037
Mailing address
600 Caisson Hill Road
Attn: MCXX-CLD-QM (Credentials)
Fort Riley, KS 66442-5037
Phone (785) 239-7208
Other providers in Fort Riley, KS
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.