Dickinson Psychological Services Pa in Havelock - Clinical

Dickinson Psychological Services Pa - NPI 1417115429

Dickinson Psychological Services Pa is a Clinical in Havelock, North Carolina. Dickinson Psychological Services Pa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dickinson Psychological Services Pa is 1417115429. The last update date is 2014-06-13.

Dickinson Psychological Services Pa's current location address is 318a E Main St, Havelock, North Carolina. You can contact this provider via phone number 2524477764. The mailing address for Dickinson Psychological Services Pa is 318a E Main St, Havelock, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dickinson Psychological Services Pa
Address 318a E Main St, Havelock, North Carolina
Phone Number 2524477764
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Dickinson S Patricia
Credentials PH.D.
Telephone Number 2524477764

NPI Number Detail

NPI Number 1417115429
Provider Enumeration Date 2008-05-27
Last Updated Date 2014-06-13

Provider Mailing Address Detail

Address 318a E Main St
City Havelock
State North Carolina (NC)
Post Code 285322214
Phone Number 2524477764
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 2670
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
045JF NC BCBS
6000180 NC --

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FAQs about Dickinson Psychological Services Pa

What is the Dickinson Psychological Services Pa's unique identification number?

The Dickinson Psychological Services Pa has been assigned the NPI (National Provider Identifier) Number 1417115429 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Dickinson Psychological Services Pa is geographically located?

The Dickinson Psychological Services Pa is physically situated at the following location: 318A E Main St, Havelock, NC, 285322214.

What is the Dickinson Psychological Services Pa's specialty and taxonomy code?

The Dickinson Psychological Services Pa's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

When did Dickinson Psychological Services Pa receive its 1417115429 assignment?

The Dickinson Psychological Services Pa was assigned its 1417115429 on 2008-05-27, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Dickinson Psychological Services Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Dickinson Psychological Services Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-06-13.

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