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Individual

DR. DIXIE JEAN WOOLSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1020 E 2ND ST, SUITE 100, CASPER, WY 82601-2946
(307) 265-4343
(307) 234-6339
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-6874

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
542
WY
103G00000X
Clinical Neuropsychologist
AZ
103TC0700X
Clinical Psychologist
Primary
PSY-005096
AZ

Other

Enumeration date
04/09/2010
Last updated
09/10/2020
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