NPI | 1992754030 |
---|---|
Other Name | STEVEN DOUGLAS BODIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH P.6121) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.6121) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2025-04-10 |