Provider Demographics
NPI:1154711182
Name:WATSON-DODD, BRENDA (MS)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:WATSON-DODD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 NEAL DR
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-1143
Mailing Address - Country:US
Mailing Address - Phone:740-439-8467
Mailing Address - Fax:740-453-2733
Practice Address - Street 1:1212 NEAL DR
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-1143
Practice Address - Country:US
Practice Address - Phone:740-439-8467
Practice Address - Fax:740-435-2467
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.00599237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter