Individual
DR. JOSEPHINE ANN DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
919 E JEFFERSON BLVD, SUITE 402, SOUTH BEND, IN 46617-3112
(574) 289-9700
Mailing address
919 E JEFFERSON BLVD, SUITE 402, SOUTH BEND, IN 46617-3112
(574) 289-9700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20042312A
OH
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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