Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justine Dodge, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1568006161

Justine Dodge, MS, CCC-SLP is a Speech-Language Pathologist in Los Alamos, New Mexico. Licensed in New Mexico. Registered with an NPI since 2019.

Licensed in
NM
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

402 Pruitt Ave
Los Alamos, NM 87547-3627
Phone: (505) 933-4336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 5085 (NM)

Record details

NPI number1568006161
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedNovember 6, 2019
Last updated in NPPESNovember 6, 2019

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