Doctor Name: | MR. BENJAMIN SILAS DODD |
NPI Number: | 1144473398 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., NCP, LPC |
License Number: | PC004899 |
Business Practice Address: | 565 Airport Rd New Holland, PA - 175579364 |
Business Phone Number: | 6102238495 |
Business Fax Number: | 2705749303 |
Mailing Address: | Po Box 483, ADAMSTOWN |
State: | PA |
Postal Code: | 195010483 |
Phone Number: | 6102238495 |
Fax Number: | 2705749303 |
NPI Enumeration Date: | 11/01/2008 |
NPI Last Update Date: | 11/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC004899 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |