Katelyn Bodge
Psychologist, School in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1710693957
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1710693957
- Entity type
- Individual (NPI-1)
- Name
- Ms. Katelyn Bodge
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2023
- Certification date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 0607873 | VA | Yes |
Practice location
2001 Concert DrVirginia Beach, VA 23456-8088
Phone 757-648-5500
Mailing address
641 Carriage Hill RdVirginia Beach, VA 23452-6546
Other practice locations
2204 Recreation Dr
Virginia Beach, VA 23456-6178
Virginia Beach, VA 23456-6178
Phone 757-648-4750
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