Provider Demographics
NPI:1003546235
Name:ROBERT W DODDS LLC
Entity Type:Organization
Organization Name:ROBERT W DODDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:DODDS
Authorized Official - Suffix:II
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:610-955-4615
Mailing Address - Street 1:699 BOXWOOD DR
Mailing Address - Street 2:
Mailing Address - City:UPPER CHICHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19014-2401
Mailing Address - Country:US
Mailing Address - Phone:610-955-4615
Mailing Address - Fax:
Practice Address - Street 1:699 BOXWOOD DR
Practice Address - Street 2:
Practice Address - City:UPPER CHICHESTER
Practice Address - State:PA
Practice Address - Zip Code:19014-2401
Practice Address - Country:US
Practice Address - Phone:610-955-4615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-11
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty