DR. LAURA J. HODGE (NPI# 1891927547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891927547 |
| Entity Type | Individual |
| Full Name | DR. LAURA J. HODGE |
| Credential | PSY.D. |
| Practice Address |
312 Brookside Ave Redlands CA 92373-4608 |
| Practice Telephone | 9096330173 |
| Mailing Telephone | 9096330173 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2013-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 22367 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558024 | Laura Hodge | Homemaker | 195 Nicole Dr, Sparks, NV 89436-8907 | 2019-09-20 |
| 1215953393 | Laura Smith Hodge | Pharmacist | 635 Arrowood Rd, Rutherfordton, NC 28139-6505 | 2006-07-14 |
| 1518577584 | Laura May Hodge | Technician | 4421 Emerson Ave Ste 204, Parkersburg, WV 26104-1200 | 2020-08-05 |
| 1932675949 | Laura Sue Hodge | Counselor | 1855 E Dublin Granville Rd, Columbus, OH 43229-3516 | 2018-10-17 |
| 1871930800 | Laura Fisher Hodge | Speech-Language Pathologist | 3231 Old Furnace Rd, Chesnee, SC 29323-9639 | 2013-05-31 |
| Street Address |
312 BROOKSIDE AVE |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386849339 | Kelly Blue | Psychiatry & Neurology | 312 Brookside Ave, Redlands, CA 92373-4608 | 2007-06-19 |
| 1295365955 | Michelle Buckman | Nurse Practitioner | 312 Brookside Ave, Redlands, CA 92373-4608 | 2020-01-22 |
| 1467915959 | Rojean Lorraine Talmadge | Marriage & Family Therapist | 312 Brookside Ave, Redlands, CA 92373-4608 | 2019-04-11 |
| 1952703282 | Optimal Movement Physical Therapy LLC | Clinic/Center | 312 Brookside Ave, Redlands, CA 92373-4608 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295081313 | Michael Harlen Crane | Psychologist | 51 West Olive Ave, Redlands, CA 92373 | 2012-07-26 |
| 1992949754 | Redlands Therapy Group | Psychologist | 222 E Olive Ave, Suite 7, Redlands, CA 92373-5268 | 2009-04-23 |
| 1063625036 | Hsinya Chichester | Psychologist | 339 Cajon St Ste B, Redlands, CA 92373-5901 | 2007-05-07 |
| 1154453843 | Joseph P Revetto | Psychologist | 1255 W Colton Ave, Suite 110, Redlands, CA 92374-2861 | 2007-03-09 |
| 1306980982 | Joseph Ralph Ortiz I | Psychologist | 1573 Gold Cup Ct, Redlands, CA 92374-2767 | 2007-02-16 |
| 1033269675 | Kenneth Hutchins | Psychologist | 47 1st St, Redlands, CA 92373-4601 | 2007-01-12 |
| 1083728513 | John Austin Davis | Psychologist | 300 E State St, Redlands, CA 92373-5235 | 2006-08-19 |
| 1588671432 | Pat M Beaupre | Psychologist | 511 Brookside Ave, Redlands, CA 92373-4611 | 2006-08-02 |
| 1316968894 | Jennifer Louise Weniger | Psychologist | Loma Linda Behavioral Medicine Center, 1710 Barton Rd., Redlands, CA 72372 | 2006-07-21 |
| 1275565046 | Lafaye Cunningham Sutkin | Psychologist | 537 Cajon St, Redlands, CA 92373-5903 | 2006-07-06 |
| Find all providers in REDLANDS | ||||
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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.