Individual
DR. JULIE A DICKISON
Active
Individual
DR. JULIE A DICKISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2342
NC
103T00000X
Psychologist
2342 HSP-P
NC
103TC0700X
Clinical Psychologist
2342
NC
103TC0700X
Clinical Psychologist
Primary
2342 HSP-P
NC
103TH0004X
Health Psychologist
2342
NC
103TH0100X
Health Service Psychologist
2342 HSP-P
NC
103TP2701X
Group Psychotherapy Psychologist
2342
NC
103TP2701X
Group Psychotherapy Psychologist
2342 HSP-P
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0426L
BCBS PROVIDER NUMBER
NC
Enumeration date
07/29/2006
Last updated
05/18/2009
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