Dixie J Pederson in Lafayette - Health Service
Dixie J Pederson - NPI 1942491600
Dixie J Pederson is a Health Service in Lafayette, Indiana. Dixie J Pederson practices all healthcare services and medical treatments related to Health Service. The NPI Number for Dixie J Pederson is 1942491600. The last update date is 2007-08-07.
Dixie J Pederson's current location address is 2 N 19th St, Lafayette, Indiana. You can contact this provider via phone number 7654910002. The mailing address for Dixie J Pederson is 2 N 19th St, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dixie J Pederson |
|---|---|
| Address | 2 N 19th St, Lafayette, Indiana |
| Phone Number | 7654910002 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1942491600 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2007-08-07 |
Provider Mailing Address Detail
| Address | 2 N 19th St |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479042950 |
| Phone Number | 7654910002 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | HSPP20010440 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HSPP20010440 | IN | STATE BOARD OF EXAMINERS |
Post Comment/ Review Below
What is the unique identifier code issued to Dixie J Pederson by the Centers for Medicare & Medicaid Services?
The Dixie J Pederson has been assigned the NPI (National Provider Identifier) 1942491600. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dixie J Pederson is geographically located?
The Dixie J Pederson is physically situated at the following location: 2 N 19Th St, Lafayette, IN, 479042950.
What is Dixie J Pederson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dixie J Pederson's area of specialization is Health Service, and the corresponding taxonomy code that categorizes this field of practice is 103Th0100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1942491600 to Dixie J Pederson?
The Centers for Medicare & Medicaid Services assigned the 1942491600 to Dixie J Pederson on 2007-08-07.
When was the Dixie J Pederson's information last updated?
The Dixie J Pederson's information was last updated on 2007-08-07.