STEPHANIE ANN DODGE

HILO, HI
NPI1942569629
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: HI  PSY1318)
Enumeration Date2012-05-15
Last Update Date2012-05-15
Business Address
STEPHANIE ANN DODGE PHD
56 WAIANUENUE AVENUE
HILO, HI 96720
Phone number: 808-747-3445
Mailing Address
STEPHANIE ANN DODGE PHD
PO BOX 11339
HILO, HI 96721
Phone number: 808-747-3445