Individual
JULIA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., NCSP
Contact information
Practice address
2601 DEMPSTER ST, PARK RIDGE, IL 60068-1155
(847) 825-4484
Mailing address
2601 DEMPSTER ST, PARK RIDGE, IL 60068-1155
(847) 825-4484
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1844277
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1844277
ISBE
IL
01
—
43230
NASP
—
01
—
928461
ISBE
IL
Enumeration date
12/13/2019
Last updated
03/10/2024
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