Provider Demographics
NPI:1538244942
Name:RODE, JOE W (PHD)
Entity type:Individual
Prefix:DR
First Name:JOE
Middle Name:W
Last Name:RODE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:WILLIAM
Other - Last Name:RODE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LPC
Mailing Address - Street 1:3024 HIGHWAY 121
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-4037
Mailing Address - Country:US
Mailing Address - Phone:817-515-7741
Mailing Address - Fax:817-515-7306
Practice Address - Street 1:3024 HWY. 121
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-4037
Practice Address - Country:US
Practice Address - Phone:817-515-7741
Practice Address - Fax:817-515-7306
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1007101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health