Grace E Dickerson, LMFT is a
Marriage & Family Therapist based in Sumrall, Mississippi. Grace E Dickerson is licensed to practice in Mississippi (license number M7415) and her current practice location is
914c Wpa Rd, Sumrall, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 705-1901.
NPI number for Grace E Dickerson is 1578795175 and her current mailing address is 914c Wpa Rd, Sumrall, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578795175.
Healthcare Provider's Profile
Full Name | Grace E Dickerson |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 914c Wpa Rd, Sumrall, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578795175
- Provider Enumeration Date: 08/14/2009
- Last Update Date: 08/14/2009
Medical Identifiers
Medical identifiers for Grace E Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578795175 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | M7415 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grace E Dickerson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Grace E Dickerson, LMFT 914c Wpa Rd, Sumrall, MS 39482-3780 Ph: (601) 705-1901 | Grace E Dickerson, LMFT 914c Wpa Rd, Sumrall, MS 39482-3780 Ph: (601) 705-1901 |
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