NPI 1821066374 · live from the CMS NPI Registry
Michael O Dodd, MS
Psychologist in El Dorado, AR. National Provider Identifier 1821066374, active.
NPI record
| NPI | 1821066374 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 715 N College Ave, El Dorado, AR 71730 |
| Practice phone | 870-862-7921 |
| Enumerated | March 10, 2006 |
| Last updated | August 14, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 91-17e (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.