Individual
DR. LEE ANNE ANNE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
555 SUN VALLEY DR STE L1, ROSWELL, GA 30076-5630
(404) 394-1096
(404) 990-3531
Mailing address
885 WOODSTOCK ROAD, SUITE 430, #515, ROSWELL, GA 30075-2275
(757) 619-6859
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
810003264
VA
103T00000X
Psychologist
Primary
PSY004236
GA
103TC0700X
Clinical Psychologist
0810003264
VA
Other
Enumeration date
08/28/2006
Last updated
01/25/2024
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