Denise Dixon is a Clinical in Port Jefferson, New York. Denise Dixon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Denise Dixon is 1457394983. The last update date is 2011-10-27.
Denise Dixon's current location address is 108 Rustic Rd, Port Jefferson, New York. You can contact this provider via phone number 6314569426. The mailing address for Denise Dixon is 108 Rustic Rd, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Denise Dixon |
|---|---|
| Address | 108 Rustic Rd, Port Jefferson, New York |
| Phone Number | 6314569426 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1457394983 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2011-10-27 |
Provider Mailing Address Detail
| Address | 108 Rustic Rd |
|---|---|
| City | Port Jefferson |
| State | New York (NY) |
| Post Code | 117772033 |
| Phone Number | 6314569426 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 15481 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| VN2811 | NY | MEDICARE | |
| 2794076 | NY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Denise Dixon by the Centers for Medicare & Medicaid Services?
The Denise Dixon has been issued the NPI (National Provider Identifier) 1457394983. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Denise Dixon is physically located?
The Denise Dixon is physically situated at the following address: 108 Rustic Rd, Port Jefferson, NY, 117772033.
What is Denise Dixon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Denise Dixon is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When did the Denise Dixon receive its 1457394983?
The Denise Dixon was issued its 1457394983 on 2006-06-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Denise Dixon most recently updated or revised?
The information pertaining to Denise Dixon, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-27.
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