ELIZA RUTH DODGE
NPI 1255928669
Counselor - Mental Health in Watertown, MA
Active since December 31, 2020
About Eliza Ruth Dodge NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZA RUTH DODGE (NPI 1255928669) is an individual mental health provider in Watertown, Massachusetts and active in the NPI registry since December 2020.
NPPES Registry Identity
NPI1255928669
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZA RUTH DODGE
Location Address204 ARSENAL ST APT 253Watertown, MA 02472-2797
Mailing Address520 Dudley StRoxbury, MA 02119-2769
Phone(508) 309-0446
Sole ProprietorNo
Enumeration DateDecember 31, 2020
NPPES CertifiedDecember 31, 2020
✔ NPI 1255928669 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
204 ARSENAL ST APT 253, Watertown, MA 02472
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255928669, enumerated as an "individual" on December 31, 2020.
The provider is located at 204 ARSENAL ST APT 253 WATERTOWN, MA 02472 and the phone number is (508) 309-0446.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
