Individual provider · Type 1 NPI

Stacey M. Dodge, PSY.D.

Clinical Psychologist · West Hollywood, CA

NPI number 1750683454 Active

Practice location

8605 Santa Monica Blvd
West Hollywood, CA 90069-4109

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSY34784 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1750683454

Stacey M. Dodge, PSY.D.'s National Provider Identifier is 1750683454, issued on Dec 1, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in West Hollywood, CA. The record was last updated on Jun 29, 2026.