Provider Demographics
NPI:1144365883
Name:DODSON MARTINEZ, CECELIA LORI (SCHOOL PSYCHOLOGIST)
Entity type:Individual
Prefix:MRS
First Name:CECELIA
Middle Name:LORI
Last Name:DODSON MARTINEZ
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Gender:F
Credentials:SCHOOL PSYCHOLOGIST
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Mailing Address - Street 1:140 S GILBERT ROAD
Mailing Address - Street 2:GILBERT PUBLIC SCHOOLS MEDICAID SBCP
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296
Mailing Address - Country:US
Mailing Address - Phone:480-545-3826
Mailing Address - Fax:480-813-5974
Practice Address - Street 1:2034 S LINDSAY RD
Practice Address - Street 2:SOUTH VALLEY JUNIOR HIGH
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296
Practice Address - Country:US
Practice Address - Phone:480-855-0015
Practice Address - Fax:480-855-3542
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZD04598197103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool