Provider Demographics
NPI:1376711820
Name:DODSON, JUDITH LEIGH (LPA)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:LEIGH
Last Name:DODSON
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:LEIGH
Other - Last Name:JACOBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:398 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-5196
Mailing Address - Country:US
Mailing Address - Phone:828-586-2311
Mailing Address - Fax:828-586-5450
Practice Address - Street 1:398 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5196
Practice Address - Country:US
Practice Address - Phone:828-586-2311
Practice Address - Fax:828-586-5450
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2078101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor