Individual provider · Type 1 NPI

Thomas M. Dodge, PMHNP-BC

Child & Family Psychiatric/Mental Health Clinical Nurse Specialist · Framingham, MA

NPI number 1164767471 Active

Practice location

1881 Worcester Rd Ste 203
Framingham, MA 01701-5410

Fax (508) 532-1168

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808XRN2351706 (MA)
Athletic Trainer 2255A2300X1797 (MA)
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist Primary 364SP0810XRN2351706 (MA)

Child & Family Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...

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About NPI 1164767471

Thomas M. Dodge, PMHNP-BC's National Provider Identifier is 1164767471, issued on Nov 28, 2012. The primary taxonomy on file is Child & Family Psychiatric/Mental Health Clinical Nurse Specialist (364SP0810X), and the practice location is in Framingham, MA. The record was last updated on Oct 26, 2023.