| NPI | 1780881474 |
|---|---|
| Professional Name | B. DODGE REA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 0000002482) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: TN 0000002482) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: TN 0000002482) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-24 |