Justine Dodge, MS, CCC-SLP is a
Speech-language Pathologist based in Los Alamos, New Mexico. Justine Dodge is licensed to practice in New Mexico (license number 5085) and her current practice location is
402 Pruitt Ave, Los Alamos, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 933-4336.
NPI number for Justine Dodge is 1568006161 and her current mailing address is 402 Pruitt Ave, Los Alamos, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568006161.
Healthcare Provider's Profile
Full Name | Justine Dodge |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 402 Pruitt Ave, Los Alamos, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568006161
- Provider Enumeration Date: 11/06/2019
- Last Update Date: 11/06/2019
Medical Identifiers
Medical identifiers for Justine Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568006161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 5085 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justine Dodge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Justine Dodge, MS, CCC-SLP 402 Pruitt Ave, Los Alamos, NM 87547-3627 Ph: (505) 933-4336 | Justine Dodge, MS, CCC-SLP 402 Pruitt Ave, Los Alamos, NM 87547-3627 Ph: (505) 933-4336 |
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