| Doctor Name: | THOMAS RODE |
| NPI Number: | 1407256456 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 20694639 |
| Business Practice Address: | 6009 Dunham Rd Maple Heights, OH - 441374468 |
| Business Phone Number: | 2164386030 |
| Business Fax Number: | 2165874376 |
| Mailing Address: | 6009 Dunham Rd, MAPLE HEIGHTS |
| State: | OH |
| Postal Code: | 441374468 |
| Phone Number: | 2164386030 |
| Fax Number: | 2165874376 |
| NPI Enumeration Date: | 08/27/2014 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 20694639 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |