KENNETH L DODGE

AMES, IA
NPI1942289152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IA  00873)
Enumeration Date2006-01-16
Last Update Date2007-07-08
Business Address
Dr. KENNETH L DODGE PH.D.
3600 LINCOLN WAY SUITE 4
AMES, IA 50014-7595
Phone number: 515-239-4410
Mailing Address
Dr. KENNETH L DODGE PH.D.
118 WATER ST # 323
DES MOINES, IA 50309-4779
Phone number: 515-244-2541