Active NPIIndividual providerSole proprietor

Dr. Charles E Dodgen, PHD

Psychologist, Clinical in Caldwell, New Jersey

NPI Number1558427633
Practice location
526 Bloomfield Ave, Caldwell, NJ 07006-5564
Fax
973-228-5530
Last updated
July 9, 2007

Charles Eugene Dodgen is a Psychologist, Clinical based in Caldwell, NJ. Charles Eugene Dodgen practices in Caldwell, NJ and has the professional credentials of PHD. The NPI Number for Charles Eugene Dodgen is 1558427633 and holds a License No. 2704 (NJ). The current practice location address for Charles Eugene Dodgen is 526 Bloomfield Ave, Caldwell, NJ 07006-5564 and can be reached out via phone at 973-228-9988 and via fax at 973-228-5530.

Provider Profile Details

NPI Number
1558427633
Provider Name
Charles Eugene Dodgen
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
526 Bloomfield Ave, Caldwell, NJ 07006-5564
Phone Number
973-228-9988
Fax Number
973-228-5530
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 31, 2006
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
526 Bloomfield Ave
Caldwell, NJ 07006-5564
Zip
07006-5564
Phone Number
973-228-9988
Fax Number
973-228-5530
Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
526 Bloomfield Ave
Caldwell, NJ 07006-5564
City
Caldwell
State
NJ
Zip
07006-5564
Phone Number
973-228-9988
Fax Number
973-228-5530

License Information

License Number
2704
License State
NJ
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Charles E Dodgen, PHD?

The NPI number of Dr. Charles E Dodgen, PHD is 1558427633. It was assigned on December 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Charles E Dodgen, PHD?

Dr. Charles E Dodgen, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 2704.

Where does Dr. Charles E Dodgen, PHD practice?

The practice location is 526 Bloomfield Ave, Caldwell, NJ 07006-5564. The office can be reached at 973-228-9988 (phone) or 973-228-5530 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558427633 directly on the NPPES registry website.

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