Mr Windel Dickerson, PHD is a
Psychologist based in Coupland, Texas. Mr Windel Dickerson is licensed to practice in Texas (license number 20668) and his current practice location is
202 Hoxie, Coupland, Texas. He can be reached at his office (for appointments etc.) via phone at
(337) 348-6691.
NPI number for Mr Windel Dickerson is 1952353534 and his current mailing address is Box 629, Coupland, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952353534.
Healthcare Provider's Profile
| Full Name | Mr Windel Dickerson |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 202 Hoxie, Coupland, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1952353534
- Provider Enumeration Date: 05/16/2006
- Last Update Date: 11/02/2007
Medical Identifiers
Medical identifiers for Mr Windel Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952353534 | NPI | - | NPPES |
| 87277A | Other | TX | BCBS |
| P00322224 | Other | TX | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 20668 (Texas) | 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. Mr Windel 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 |
|---|
Mr Windel Dickerson, PHD
Box 629,
Coupland, TX 78615
Ph: (337) 348-6691 | Mr Windel Dickerson, PHD
202 Hoxie,
Coupland, TX 78615
Ph: (337) 348-6691 |
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