Provider Demographics
NPI:1578309050
Name:HODGENS, LINDA JEAN (HEALTH EDUCATOR)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:JEAN
Last Name:HODGENS
Suffix:
Gender:F
Credentials:HEALTH EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 OAK HILL DR
Mailing Address - Street 2:
Mailing Address - City:ROCK TAVERN
Mailing Address - State:NY
Mailing Address - Zip Code:12575-5202
Mailing Address - Country:US
Mailing Address - Phone:845-490-7189
Mailing Address - Fax:
Practice Address - Street 1:9 OAK HILL DR
Practice Address - Street 2:
Practice Address - City:ROCK TAVERN
Practice Address - State:NY
Practice Address - Zip Code:12575-5202
Practice Address - Country:US
Practice Address - Phone:845-490-7189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator