| Carole J Rodon, Phd, Pc | |
|
2501b W Ash St Columbia MO 65203-4609 | |
| (573) 442-4161 | |
| Not Available |
| Full Name | Carole J Rodon, Phd, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2501b W Ash St, Columbia, Missouri |
| Authorized Official Name and Position | Carole J Rodon (PSYCHOLOGIST) |
| Authorized Official Contact | 5734424161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carole J Rodon, Phd, Pc 2501b W Ash St Columbia MO 65203-4609 Ph: (573) 442-4161 | Carole J Rodon, Phd, Pc 2501b W Ash St Columbia MO 65203-4609 Ph: (573) 442-4161 |
| NPI Number | 1184878563 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 11/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184878563 | NPI | - | NPPES |
| 1088760 | Other | MO | FIRST HEALTH |
| 109489 | Other | MO | ANTHEM BLUE CROSS BLUE SHIELD |
| 61-43032 | Other | MO | UNITED HEALTHCARE |
| 074664 | Other | MO | VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY01536 (Missouri) | Primary |
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