Joan P Dickerson in Sturtevant - Marriage & Family Therapist

Joan P Dickerson - NPI 1487661757

Joan P Dickerson is a Marriage & Family Therapist in Sturtevant, Wisconsin. Joan P Dickerson practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Joan P Dickerson is 1487661757. The last update date is 2011-11-04.

Joan P Dickerson's current location address is P. O. Box 593, Sturtevant, Wisconsin. You can contact this provider via phone number 4147508033 and fax number 4147781531. The mailing address for Joan P Dickerson is P. O. Box 593, Sturtevant, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Joan P Dickerson
Address P. O. Box 593, Sturtevant, Wisconsin
Phone Number 4147508033
Fax Number 4147781531
Sole Proprietor Y
Credentials M.S.,LCSW,

NPI Number Detail

NPI Number 1487661757
Provider Enumeration Date 2006-08-01
Last Updated Date 2011-11-04

Provider Mailing Address Detail

Address P. O. Box 593
City Sturtevant
State Wisconsin (WI)
Post Code 531770593
Phone Number 4147508033
Fax Number 4147781531

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No 391-124
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40918800 WI --

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FAQs about Joan P Dickerson

What is the unique 10-digit identification code issued to Joan P Dickerson by the Centers for Medicare & Medicaid Services?

The Joan P Dickerson has been assigned the NPI (National Provider Identifier) 1487661757 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Joan P Dickerson is physically located?

The Joan P Dickerson is situated at the following address: P. O. Box 593, Sturtevant, WI 531770593.

What is Joan P Dickerson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Joan P Dickerson's specialized field of practice is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 106H00000X.

When did Joan P Dickerson receive its 1487661757 assignment?

The Joan P Dickerson was assigned its 1487661757 on 2006-08-01, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Joan P Dickerson most recently updated or revised?

The information pertaining to Joan P Dickerson, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-04.

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