| Patricia S Dixon-psyd | |
|
5348 1st Ave N St Petersburg FL 33710-8106 | |
| (727) 322-6123 | |
| Not Available |
| Full Name | Patricia S Dixon-psyd |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5348 1st Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | Patricia Shalene Dixon (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7273226123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia S Dixon-psyd Po Box 47918 St Petersburg FL 33743-7918 Ph: (727) 322-6143 | Patricia S Dixon-psyd 5348 1st Ave N St Petersburg FL 33710-8106 Ph: (727) 322-6123 |
| NPI Number | 1790068344 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 09/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790068344 | NPI | - | NPPES |
| 1598046286 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY8356 (Florida) | Primary |
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