| NPI | 1811638737 |
|---|---|
| Other Name | TOM SAMUEL DODSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0005768) |
| Additional Taxonomies | 261QV0200X Clinic/Center, VA (Licence: CO PSY.0005768) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-05-12 |