JUSTINE DODGE (NPI# 1568006161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568006161 |
| Entity Type | Individual |
| Full Name | JUSTINE DODGE |
| Credential | MS, CCC-SLP |
| Practice Address |
402 Pruitt Ave Los Alamos NM 87547-3627 |
| Practice Telephone | 5059334336 |
| Mailing Telephone | 5059334336 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 5085 | NM | Speech, Language and Hearing Service Providers |
| Street Address |
402 PRUITT AVE |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87547-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649385980 | Shane K Wisehart | Chiropractor | 35 Bonnie View Dr, Ste 3, Los Alamos, NM 87547-3737 | 2006-08-19 |
| 1528336690 | Bruce E. Staggs | Chiropractor | 8140 S. Houghton Road, Suite #130, Tucson, AZ 87547-4708 | 2011-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846708 | Integrated Energies LLC | Clinic/Center | 3000 Trinity Dr Apt 59, Los Alamos, NM 87544-2340 | 2020-09-21 |
| 1063045029 | Active Integration Therapy, LLC | Counselor | 3250 Trinity Dr Ste B1, Los Alamos, NM 87544-2226 | 2020-02-18 |
| 1194372789 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1183 Diamond Dr Ste D, Los Alamos, NM 87544-2228 | 2019-08-20 |
| 1790330207 | Alder and Oak Counseling LLC | Social Worker | 1350 Central Ave Ste 204, Los Alamos, NM 87544-6218 | 2019-08-02 |
| 1730731621 | Victoria Anne Roybal | Counselor | 2075 Trinity Dr, Los Alamos, NM 87544-3093 | 2019-07-11 |
| 1952962540 | Michelle Harkey | Counselor | 3250 Trinity Dr Ste B2, Los Alamos, NM 87544-2226 | 2019-06-25 |
| 1699237982 | Desert Sky Therapy Services, LLC | Counselor | 1505 15th St # A8, Los Alamos, NM 87544-3000 | 2019-04-04 |
| 1982161766 | Jonathan Gabriel Valencia | Behavior Technician | 1350 Central Ave Ste 300, Los Alamos, NM 87544-6218 | 2019-02-27 |
| 1619441227 | Catharyn Dianne Crall | Counselor | 1907 Central Ave Ste 214, Los Alamos, NM 87544-4017 | 2019-01-16 |
| 1780156745 | Erik Mcmurray | Behavior Technician | 2432 36th St, Los Alamos, NM 87544-2077 | 2018-12-31 |
| Find all providers in LOS ALAMOS | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770836538 | Elizabeth A Stewart | Speech-Language Pathologist | 111 Piedra Loop, Los Alamos, NM 87544-3827 | 2012-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009829 | Katlyn Ann Ferguson | Speech-Language Pathologist | 4316 Sabana Loop Se Apt D, Rio Rancho, NM 87124-1422 | 2020-10-05 |
| 1881291987 | Jennifer Tassaro | Speech-Language Pathologist | 3315 Louisiana Blvd Ne, Albuquerque, NM 87110-2165 | 2020-10-02 |
| 1205443470 | Lauren Salm | Speech-Language Pathologist | 7215 Montgomery Blvd Ne, Albuquerque, NM 87109-1508 | 2020-09-30 |
| 1164035705 | Deanna Mari Cordova | Speech-Language Pathologist | 1517 S Main Ave, Portales, NM 88130-6928 | 2020-08-24 |
| 1972113660 | Jenna Marie Gomez | Speech-Language Pathologist | 620 Lomas Blvd Nw # 2080, Albuquerque, NM 87102-2080 | 2020-08-06 |
| 1508476508 | Betty Joanne Hauser | Speech-Language Pathologist | 3401 E 30th St Ste A, Farmington, NM 87402-8805 | 2020-08-04 |
| 1477176758 | New Mexico Speech and Swallowing Services, LLC | Speech-Language Pathologist | 400 E College Blvd Ste E, Roswell, NM 88201-7570 | 2020-05-21 |
| 1912526310 | Madeleine O'neill | Speech-Language Pathologist | 614 Lafayette Dr Ne, Albuquerque, NM 87106-2144 | 2020-04-15 |
| 1124653191 | Megan Mcnutt | Speech-Language Pathologist | 18 Copper Ridge Dr, Silver City, NM 88061-8629 | 2020-03-10 |
| 1104450139 | Jennifer Edwards | Speech-Language Pathologist | 700 W Stevens St, Carlsbad, NM 88220-4958 | 2020-02-28 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87547 |
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| 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.