DR. HODGES JAMES GLENN JR. (NPI# 1528082310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528082310 |
Entity Type | Individual |
Full Name | DR. HODGES JAMES GLENN JR. |
Credential | PH.D. |
Practice Address |
422 Linn St Leavenworth KS 66048-3437 |
Mailing Address |
Po Box 646 Leavenworth KS 66048-1098 |
Practice Telephone | 9136828700 |
Practice Fax Number | 9135781038 |
Mailing Telephone | 9136828700 |
Mailing Fax Number | 9135781038 |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
92-16P | AR | Behavioral Health & Social Service Providers |
Street Address |
422 LINN ST |
City | LEAVENWORTH |
State | KS |
Zip Code | 66048-3437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023653854 | Dawn Rishelle Hudson | Registered Nurse | 711 Marshall St., Leavenworth, KS 66048 | 2019-11-15 |
1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
1386100220 | Aligned Health Chiropractic, LLC | Chiropractor | 402 Delware Street, Leavenworth, KS 66048 | 2019-02-15 |
1255805917 | Jordan Rachelle Kloepper | Chiropractor | 402 Delaware Street, Leavenworth, KS 66048 | 2019-01-16 |
1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
1578062824 | Insoon G Hoagland | Marriage & Family Therapist | 205 S 5th St Ste 20, Leavenworth, KS 66048 | 2018-02-01 |
1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
1073969598 | Kristen Simpson | Chiropractor | 211-b Delaware Street, Leavenworth, KS 66048 | 2016-05-13 |
Find all providers in zip 66048 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700429982 | Carolyn Sue Pepper | Psychologist | 2614 S 25th St, Leavenworth, KS 66048-4338 | 2019-10-21 |
1104148261 | Sylvia Ivonne Trevino-maack | Psychologist | 403 N 4th St, Leavenworth, KS 66048-1966 | 2010-02-17 |
1821644451 | Jennifer Anne Shah | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2019-08-09 |
1659772846 | Melinda Ann Gaddy | Psychologist | 4101 S 4th St, L-116-atp, Main Hospital, A6, Leavenworth, KS 66048-5014 | 2014-09-08 |
1093115933 | Amber D. Guzman | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2014-08-28 |
1497198501 | Kevin P Donovan | Psychologist | 1503 Ohio St, Leavenworth, KS 66048-2932 | 2013-04-09 |
1184976326 | Erin Michelle Mcinerney-ernst | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2012-10-11 |
1023369899 | Kylie L Dowell | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2012-09-19 |
1588810469 | Jenny M Rosinski | Psychologist | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2008-08-12 |
1700041829 | Keith Rickard | Psychologist | 500 Limit St, Leavenworth, KS 66048-4435 | 2008-07-29 |
Find all providers in LEAVENWORTH |
City | LEAVENWORTH |
Zip Code | 66048 |
Please comment or provide details below to improve the information on DR. HODGES JAMES GLENN JR..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.