Individual
KATHLEEN DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2840 NW 2ND AVE STE 104, BOCA RATON, FL 33431-6692
(800) 233-5976
Mailing address
6801 HUTCHES RD, BATH, NY 14810-7806
(607) 346-6745
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1046320161
NY
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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