Provider Demographics
NPI:1710452925
Name:JANN DODD, PH.D., PLLC
Entity Type:Organization
Organization Name:JANN DODD, PH.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANN
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:DODD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-775-8836
Mailing Address - Street 1:1203 BONNIE BRAE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5803
Mailing Address - Country:US
Mailing Address - Phone:713-775-8836
Mailing Address - Fax:
Practice Address - Street 1:1203 BONNIE BRAE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5803
Practice Address - Country:US
Practice Address - Phone:713-775-8836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2018-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty