Individual
SHAUNA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
330 W 58TH ST STE 206, NEW YORK, NY 10019-1822
(347) 491-7572
Mailing address
188 PAULANNA AVE, BAYPORT, NY 11705-2130
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
10/26/2024
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