Paul Bryant Dickerson in Lebanon - Psychologist
Paul Bryant Dickerson - NPI 1588656813
Paul Bryant Dickerson is a Psychologist in Lebanon, Pennsylvania. Paul Bryant Dickerson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Paul Bryant Dickerson is 1588656813. The last update date is 2007-07-08.
Paul Bryant Dickerson's current location address is 200 North 7th Street, Lebanon, Pennsylvania. You can contact this provider via phone number 7172731710 and fax number 7172731416. The mailing address for Paul Bryant Dickerson is 200 North 7th Street, Lebanon, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Bryant Dickerson |
|---|---|
| Address | 200 North 7th Street, Lebanon, Pennsylvania |
| Phone Number | 7172731710 |
| Fax Number | 7172731416 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1588656813 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 North 7th Street |
|---|---|
| City | Lebanon |
| State | Pennsylvania (PA) |
| Post Code | 17046 |
| Phone Number | 7172731710 |
| Fax Number | 7172731416 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS015229 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique provider identifier assigned to Paul Bryant Dickerson?
The Paul Bryant Dickerson has been issued the NPI (National Provider Identifier) 1588656813 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is Paul Bryant Dickerson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Paul Bryant Dickerson is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
When did Paul Bryant Dickerson receive its 1588656813 assignment?
The Paul Bryant Dickerson was assigned its 1588656813 on 2005-08-23, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588656813 to Paul Bryant Dickerson?
The Centers for Medicare & Medicaid Services originally issued the 1588656813 to Paul Bryant Dickerson on 2005-08-23.
When was the information regarding Paul Bryant Dickerson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Paul Bryant Dickerson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY